Provider Demographics
NPI:1982625588
Name:BEECHEL, THOMAS S (MA, MFT)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:S
Last Name:BEECHEL
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22550 ELBOW CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:WILDOMAR
Mailing Address - State:CA
Mailing Address - Zip Code:92595-8499
Mailing Address - Country:US
Mailing Address - Phone:951-270-4319
Mailing Address - Fax:951-834-0389
Practice Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:D-160
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-9101
Practice Address - Country:US
Practice Address - Phone:951-270-4319
Practice Address - Fax:951-834-0389
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC18191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health