Provider Demographics
NPI:1295059251
Name:HOPKINS, JOHN DONALD (MED COUNSELOR EDUC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DONALD
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MED COUNSELOR EDUC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HUFF AVE.
Mailing Address - Street 2:KREINBROOK PSYCHOLOGICAL SERVICES
Mailing Address - City:GREEENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5318
Mailing Address - Country:US
Mailing Address - Phone:724-836-3960
Mailing Address - Fax:724-836-7286
Practice Address - Street 1:40 HUFF AVE.
Practice Address - Street 2:
Practice Address - City:GREEENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5318
Practice Address - Country:US
Practice Address - Phone:724-836-3960
Practice Address - Fax:724-836-7286
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001375101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC001375OtherCOMM. OF PA, DEPT. OF STATE, BUREAU OF OCCL AFFAIRS, ST. BD. OF SW'S, MFT'S AN