Healthcare Provider Details

I. General information

NPI: 1881527026
Provider Name (Legal Business Name): JENNIFER NICHOLE HOXTER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 LILLIE AVE
KINGMAN AZ
86401-5346
US

IV. Provider business mailing address

5373 US HIGHWAY 68 STE D264
GOLDEN VALLEY AZ
86413-5501
US

V. Phone/Fax

Practice location:
  • Phone: 253-720-8480
  • Fax:
Mailing address:
  • Phone: 702-931-4805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC60487007
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: