Individual
KAROLINE HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2460 FAIRMOUNT BLVD STE 326, CLEVELAND, OH 44106-3197
(630) 948-8847
Mailing address
2460 FAIRMOUNT BLVD STE 326, CLEVELAND, OH 44106-3197
(630) 948-8847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1600321
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID-ODADAS
OH
01
—
0074946
MEDICAID-ODMH
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
06/16/2016
Last updated
10/09/2019
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