Individual
RENAE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 N OAK ST, COLUMBIA CITY, IN 46725-1608
(260) 244-0264
Mailing address
6030 W STATE ROAD 205, SOUTH WHITLEY, IN 46787-9130
(260) 609-1987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2022
Last updated
07/21/2022
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