Organization
JILL HOFER M.ED.,LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL HOFER M.ED., LPC (CLINICIAN/OWNER)
(405) 604-7223
Entity
Organization
Contact information
Practice address
508 W VANDAMENT AVE STE 207, YUKON, OK 73099-4666
(405) 604-7223
(405) 604-7223
Mailing address
803 DORCHESTER DR, YUKON, OK 73099-4921
(405) 604-7223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200296510A
—
OK
Enumeration date
01/30/2018
Last updated
06/16/2018
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