| Jill Hofer M.ed.,lpc, Llc | |
|
508 W Vandament Ave Ste 207 Yukon OK 73099-4666 | |
| (405) 604-7223 | |
| (405) 604-7223 |
| Full Name | Jill Hofer M.ed.,lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 508 W Vandament Ave Ste 207, Yukon, Oklahoma |
| Authorized Official Name and Position | Jill Hofer (CLINICIAN/OWNER) |
| Authorized Official Contact | 4056047223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Hofer M.ed.,lpc, Llc 803 Dorchester Dr Yukon OK 73099-4921 Ph: (405) 604-7223 | Jill Hofer M.ed.,lpc, Llc 508 W Vandament Ave Ste 207 Yukon OK 73099-4666 Ph: (405) 604-7223 |
| NPI Number | 1083112544 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083112544 | NPI | - | NPPES |
| 200296510A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4209 (Oklahoma) | Primary |
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Drug Recovery, Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2405 Sequoia Park, Yukon, OK 73099 Phone: 405-350-8744 | |
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