Provider Demographics
NPI:1689840795
Name:HECHT, JENNIFER RENEE' (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RENEE'
Last Name:HECHT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7570 W. 21ST ST. N.
Mailing Address - Street 2:SUITE 1026D
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1734
Mailing Address - Country:US
Mailing Address - Phone:316-729-6555
Mailing Address - Fax:316-634-4794
Practice Address - Street 1:7570 W. 21ST ST. N.
Practice Address - Street 2:SUITE 1026D
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1734
Practice Address - Country:US
Practice Address - Phone:316-729-6555
Practice Address - Fax:316-634-4794
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCPC # 2234101YP2500X
KSLCAC #230101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)