Provider Demographics
NPI:1265701635
Name:BECHARD, ELYCIA (MA)
Entity type:Individual
Prefix:
First Name:ELYCIA
Middle Name:
Last Name:BECHARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 E PIONEER RD
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-5734
Mailing Address - Country:US
Mailing Address - Phone:530-227-7468
Mailing Address - Fax:
Practice Address - Street 1:782 E PIONEER RD
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5734
Practice Address - Country:US
Practice Address - Phone:530-227-7468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2024-08-27
Deactivation Date:2024-03-27
Deactivation Code:
Reactivation Date:2024-08-15
Provider Licenses
StateLicense IDTaxonomies
UT10226523-6004101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor