Provider Demographics
NPI:1326286501
Name:HOOGEVEEN, ARIE III
Entity Type:Individual
Prefix:MR
First Name:ARIE
Middle Name:
Last Name:HOOGEVEEN
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7270 E SOUTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-2621
Mailing Address - Country:US
Mailing Address - Phone:916-393-8387
Mailing Address - Fax:916-393-0157
Practice Address - Street 1:7270 E SOUTHGATE DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-2621
Practice Address - Country:US
Practice Address - Phone:916-393-8387
Practice Address - Fax:916-393-0157
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)