Provider Demographics
NPI:1568002871
Name:HOFF, JAMIE (CADC-II)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:HOFF
Suffix:
Gender:F
Credentials:CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 PARK OF COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-7488
Mailing Address - Country:US
Mailing Address - Phone:708-937-8801
Mailing Address - Fax:
Practice Address - Street 1:125 PARK OF COMMERCE DR STE 200
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-7488
Practice Address - Country:US
Practice Address - Phone:708-937-8801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0956101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0956OtherADACBGA/CADC-II