Provider Demographics
NPI:1245571892
Name:BECHTEL, JOAN ELLEN (LMFT LIC 92806)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ELLEN
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:LMFT LIC 92806
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1513 POMONA ST
Mailing Address - Street 2:
Mailing Address - City:CROCKETT
Mailing Address - State:CA
Mailing Address - Zip Code:94525-1133
Mailing Address - Country:US
Mailing Address - Phone:925-300-5842
Mailing Address - Fax:925-210-0842
Practice Address - Street 1:2920 CAMINO DIABLO
Practice Address - Street 2:SUITE 220B
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-3985
Practice Address - Country:US
Practice Address - Phone:925-300-5842
Practice Address - Fax:925-210-0842
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 92806106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist