Provider Demographics
NPI:1407631989
Name:HOPKINS, JEWEL FONTAINE (MSCC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JEWEL
Middle Name:FONTAINE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MSCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 CAVALIER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1362
Mailing Address - Country:US
Mailing Address - Phone:302-824-2133
Mailing Address - Fax:
Practice Address - Street 1:216 E PULASKI HWY STE 212
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6589
Practice Address - Country:US
Practice Address - Phone:302-202-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional