Provider Demographics
NPI:1508258914
Name:HOCKENBERRY, STEVEN JOHN (MFT-I)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOHN
Last Name:HOCKENBERRY
Suffix:
Gender:M
Credentials:MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 ARBOLEDA DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5006
Mailing Address - Country:US
Mailing Address - Phone:775-409-3606
Mailing Address - Fax:775-409-3606
Practice Address - Street 1:1695 ARBOLEDA DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5006
Practice Address - Country:US
Practice Address - Phone:775-409-3606
Practice Address - Fax:775-409-3606
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-22
Last Update Date:2015-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0522101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health