Provider Demographics
NPI:1861479537
Name:BECHERER, JANNA K (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JANNA
Middle Name:K
Last Name:BECHERER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:JANNA
Other - Middle Name:K
Other - Last Name:HOEKSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 PARKVIEW AVE
Mailing Address - Street 2:CREDENTIALING S200
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-1822
Mailing Address - Country:US
Mailing Address - Phone:815-395-5851
Mailing Address - Fax:815-395-5644
Practice Address - Street 1:1601 PARKVIEW AVE
Practice Address - Street 2:UNIVERSITY PSYCHIATRIC SERVICES
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-1822
Practice Address - Country:US
Practice Address - Phone:815-395-5874
Practice Address - Fax:815-395-5644
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1800011925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional