Provider Demographics
NPI:1508995580
Name:HOEM, ELAINE (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:HOEM
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 N DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4103
Mailing Address - Country:US
Mailing Address - Phone:775-883-1114
Mailing Address - Fax:775-243-0289
Practice Address - Street 1:504 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4103
Practice Address - Country:US
Practice Address - Phone:775-883-1114
Practice Address - Fax:775-243-0289
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV 0232101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health