Healthcare Provider Details

I. General information

NPI: 1174008197
Provider Name (Legal Business Name): ANNA C HOTCHKISS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2018
Last Update Date: 10/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 S LAPEER RD
OXFORD MI
48371-6108
US

IV. Provider business mailing address

5873 METAMORA RD
METAMORA MI
48455-9200
US

V. Phone/Fax

Practice location:
  • Phone: 248-969-9932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401008256
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: