Doctor Name: | MS. JAIME M HOFFSTETTER |
NPI Number: | 1043467988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | SC60287672 |
Business Practice Address: | 414 Front St N Issaquah, WA - 980272914 |
Business Phone Number: | 4253926367 |
Business Fax Number: | |
Mailing Address: | 414 Front St N, ISSAQUAH |
State: | WA |
Postal Code: | 980272914 |
Phone Number: | 4253926367 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2008 |
NPI Last Update Date: | 10/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SC60287672 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |