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General NPI Number Information
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NPI Number | 1467168278
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Entity Type | Individual
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Provider Name | JONATHAN MILES HOCKEMEYER LCDC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3043 GESSNER RD
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City | HOUSTON
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State | TX
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Zip | 77080-1000
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Country | US
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Telephone | 936-333-4649
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Fax |
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Provider Business Mailing Address
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Address Line | 23655 HORSESHOE BND
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City | MONTGOMERY
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State | TX
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Zip | 77316-3663
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Country | US
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Telephone | 936-333-4649
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16417
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 100974
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License Number State | TX
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