Individual
MS. JILL L HOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-IT
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 459-1494
Mailing address
916A MAYFLOWER AVE APT 1, SHEBOYGAN, WI 53083-4142
(920) 609-5151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16723-130
WI
101YP2500X
Professional Counselor
1553-226
WI
106H00000X
Marriage & Family Therapist
Primary
300-228
WI
Other
Enumeration date
10/10/2012
Last updated
06/11/2014
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