Healthcare Provider Details

I. General information

NPI: 1790665362
Provider Name (Legal Business Name): ASHLEY HOCKEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E LOGAN ST STE 201
CALDWELL ID
83605-4883
US

IV. Provider business mailing address

211 E LOGAN ST STE 201
CALDWELL ID
83605-4883
US

V. Phone/Fax

Practice location:
  • Phone: 208-454-1480
  • Fax: 208-268-8444
Mailing address:
  • Phone: 208-454-1480
  • Fax: 208-268-8444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5971071
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: