Provider Demographics
NPI:1629146410
Name:HOFFMAN, JENNIFER ANNA (BAMHRS)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ANNA
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:BAMHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W VISTA WAY STE 206
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-5736
Mailing Address - Country:US
Mailing Address - Phone:760-724-9112
Mailing Address - Fax:760-724-9261
Practice Address - Street 1:550 W VISTA WAY STE 206
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5736
Practice Address - Country:US
Practice Address - Phone:760-724-9112
Practice Address - Fax:760-724-9261
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health