Provider Demographics
NPI:1922334713
Name:HOHL, MILDRED ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:MILDRED
Middle Name:ANN
Last Name:HOHL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:MICKY
Other - Middle Name:A
Other - Last Name:HOHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 2701
Mailing Address - Street 2:
Mailing Address - City:BASALT
Mailing Address - State:CO
Mailing Address - Zip Code:81621-2701
Mailing Address - Country:US
Mailing Address - Phone:970-309-7513
Mailing Address - Fax:
Practice Address - Street 1:123 EMMA RD STE 204B
Practice Address - Street 2:
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-9169
Practice Address - Country:US
Practice Address - Phone:970-309-7513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health