Doctor Name: | TIMOTHY J. HOEKSTRA |
NPI Number: | 1184889248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, LCPC, MBA |
License Number: | LCPC-3135 |
Business Practice Address: | 2705 N Sand Trap Way Post Falls, ID - 838546635 |
Business Phone Number: | 2089647189 |
Business Fax Number: | |
Mailing Address: | 2705 N Sand Trap Way, POST FALLS |
State: | ID |
Postal Code: | 838546635 |
Phone Number: | 2089647189 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCPC-3135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |