Provider Demographics
NPI:1740008655
Name:BISSONNETTE, CHEYENNE BRIANNA
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:BRIANNA
Last Name:BISSONNETTE
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 1:550 NW FRANKLIN AVE STE 228
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2892
Mailing Address - Country:US
Mailing Address - Phone:541-516-6330
Mailing Address - Fax:
Practice Address - Street 1:550 NW FRANKLIN AVE STE 228
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2892
Practice Address - Country:US
Practice Address - Phone:541-516-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health