Provider Demographics
NPI:1992844336
Name:HOTZE, JANICE A (MA)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:A
Last Name:HOTZE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 MUNCASTER
Mailing Address - Street 2:POB 91
Mailing Address - City:HAINES
Mailing Address - State:AK
Mailing Address - Zip Code:99827-0091
Mailing Address - Country:US
Mailing Address - Phone:907-766-6380
Mailing Address - Fax:907-766-6320
Practice Address - Street 1:77 BEACH RD
Practice Address - Street 2:
Practice Address - City:HAINES
Practice Address - State:AK
Practice Address - Zip Code:99827-0888
Practice Address - Country:US
Practice Address - Phone:907-766-6380
Practice Address - Fax:907-766-6320
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1798101YA0400X
AK564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)