Provider Demographics
NPI:1790510576
Name:HOFFERT, NICOLA RHYAN (LPCC)
Entity type:Individual
Prefix:
First Name:NICOLA
Middle Name:RHYAN
Last Name:HOFFERT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 KELTON RD
Mailing Address - Street 2:
Mailing Address - City:EAST MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05651-4257
Mailing Address - Country:US
Mailing Address - Phone:920-627-1181
Mailing Address - Fax:
Practice Address - Street 1:685 KELTON RD
Practice Address - Street 2:
Practice Address - City:EAST MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05651-4257
Practice Address - Country:US
Practice Address - Phone:920-627-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0136261101YM0800X
COLPCC.0022612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health