Provider Demographics
NPI:1013458496
Name:HOFFMANN, KAREN JILL (MFT38290)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JILL
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:MFT38290
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 482
Mailing Address - Street 2:
Mailing Address - City:LAKE ELSINORE
Mailing Address - State:CA
Mailing Address - Zip Code:92531-0482
Mailing Address - Country:US
Mailing Address - Phone:951-522-7083
Mailing Address - Fax:951-223-9020
Practice Address - Street 1:41120 ELM ST
Practice Address - Street 2:SUITE 108
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1423
Practice Address - Country:US
Practice Address - Phone:951-522-7083
Practice Address - Fax:951-223-9020
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38290106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist