MEDICARE: JENNIFER NICHOLE HOXTER LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MC60487007	WA

General Provider Information

NPI Number	:	1881527026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER NICHOLE HOXTER LMSW

Provider Business Mailing Address
First Line	:	5373 US HIGHWAY 68 STE D264
Second Line	:
City	:	GOLDEN VALLEY
State	:	AZ
Zip	:	86413-5501
Country	:	US
Telephone Number	:	702-931-4805
Fax Number	:

Provider Business Practice Location Address
First Line	:	2845 LILLIE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-5346
Country	:	US
Telephone Number	:	253-720-8480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2026
Last Update Date	:	06/06/2026

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