Provider Demographics
NPI:1679936504
Name:LOCHEN, BRANDY (LCPC, LASOP)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:LOCHEN
Suffix:
Gender:F
Credentials:LCPC, LASOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 CUNAT CT APT 1D
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5262
Mailing Address - Country:US
Mailing Address - Phone:224-357-6754
Mailing Address - Fax:
Practice Address - Street 1:418 N CENTER ST
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-4301
Practice Address - Country:US
Practice Address - Phone:630-966-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL180.014540101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health