Doctor Name: | JULIE BECHTOLD |
NPI Number: | 1396002531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 178.002728 |
Business Practice Address: | 490 E Roosevelt Rd Suite 205 West Chicago, IL - 601853901 |
Business Phone Number: | 6305250025 |
Business Fax Number: | 6306040820 |
Mailing Address: | 490 E Roosevelt Rd, Suite 205 WEST CHICAGO |
State: | IL |
Postal Code: | 601853901 |
Phone Number: | 6305250025 |
Fax Number: | 6306040820 |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 04/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.002728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |