Provider Demographics
NPI:1225686660
Name:JOCH, BRIGETTE MARIA (MA AMFT)
Entity Type:Individual
Prefix:
First Name:BRIGETTE
Middle Name:MARIA
Last Name:JOCH
Suffix:
Gender:F
Credentials:MA AMFT
Other - Prefix:
Other - First Name:BRIGETTE
Other - Middle Name:MARIA
Other - Last Name:ZIELKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 SOPHIA ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-2248
Mailing Address - Country:US
Mailing Address - Phone:630-957-7357
Mailing Address - Fax:
Practice Address - Street 1:600 W ROOSEVELT RD STE A2
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2301
Practice Address - Country:US
Practice Address - Phone:630-462-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist