Provider Demographics
NPI:1619731965
Name:HOCKENSON, SARAH ANN ROCHELLE (TCADC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN ROCHELLE
Last Name:HOCKENSON
Suffix:
Gender:F
Credentials:TCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 E FRANKLIN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2825
Mailing Address - Country:US
Mailing Address - Phone:984-291-4218
Mailing Address - Fax:
Practice Address - Street 1:643 COLLINGTON DR
Practice Address - Street 2:
Practice Address - City:MEBANE
Practice Address - State:NC
Practice Address - Zip Code:27302-8681
Practice Address - Country:US
Practice Address - Phone:641-530-0848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAT24005101YA0400X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)