Healthcare Provider Details
I. General information
NPI: 1205092210
Provider Name (Legal Business Name): HOFFE COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2008
Last Update Date: 07/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
157 FRANKLIN ST
WINONA MN
55987-3740
US
IV. Provider business mailing address
319 MAIN ST STE 302
LA CROSSE WI
54601-0705
US
V. Phone/Fax
- Phone: 507-457-0585
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 1007358-1-CDT |
| License Number State | MN |
VIII. Authorized Official
Name:
TODD
HOFFE
Title or Position: OWNER
Credential:
Phone: 608-796-1168