Healthcare Provider Details

I. General information

NPI: 1861560781
Provider Name (Legal Business Name): TERRENCE J HOFFMAN MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MAIN ST STE 210
CHICO CA
95928-5676
US

IV. Provider business mailing address

11 AMBER WAY
CHICO CA
95926
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-8928
  • Fax: 530-891-8928
Mailing address:
  • Phone: 530-342-3418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFT15909
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: