Healthcare Provider Details

I. General information

NPI: 1467868224
Provider Name (Legal Business Name): JESSICA HOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 03/31/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1266 DRESSLERVILLE RD
GARDNERVILLE NV
89460-8967
US

IV. Provider business mailing address

PO BOX 3522
CARSON CITY NV
89702-3522
US

V. Phone/Fax

Practice location:
  • Phone: 775-265-8622
  • Fax:
Mailing address:
  • Phone: 775-342-9255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCP5464
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: