Provider Demographics
NPI:1386268811
Name:DUNNO, RACHELLE ANN MARIE
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:ANN MARIE
Last Name:DUNNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 S ENTERPRISE ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-3030
Mailing Address - Country:US
Mailing Address - Phone:419-819-2188
Mailing Address - Fax:
Practice Address - Street 1:126 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2418
Practice Address - Country:US
Practice Address - Phone:419-262-9401
Practice Address - Fax:270-282-4358
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAS.2106179104100000X
OHS.2001327-TRNE104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker