Individual
JOHN HOFFERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 N UNION ST, PONCA CITY, OK 74601-1555
(806) 567-4111
Mailing address
600 E WALNUT AVE APT C, PONCA CITY, OK 74601-5527
(806) 567-4111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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