Provider Demographics
NPI:1932302791
Name:PECHANEC, JOAN PRICE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:PRICE
Last Name:PECHANEC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 OREGON ST
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1621
Mailing Address - Country:US
Mailing Address - Phone:530-246-7102
Mailing Address - Fax:530-242-5743
Practice Address - Street 1:1352 OREGON ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1621
Practice Address - Country:US
Practice Address - Phone:530-246-7102
Practice Address - Fax:530-242-5743
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL.C.S. 44251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAL.C.S. 4425OtherSTATE LICENSE