Provider Demographics
NPI:1528580842
Name:HOKE, SERENA (LPC)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:
Last Name:HOKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-3018
Mailing Address - Country:US
Mailing Address - Phone:541-816-1128
Mailing Address - Fax:541-292-5890
Practice Address - Street 1:916 W 10TH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3018
Practice Address - Country:US
Practice Address - Phone:541-816-1128
Practice Address - Fax:541-292-5890
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC6018101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health