Provider Demographics
NPI:1982118519
Name:HOEFER, DAVID LEWIS (NLC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEWIS
Last Name:HOEFER
Suffix:
Gender:M
Credentials:NLC
Other - Prefix:MR
Other - First Name:DAVID
Other - Middle Name:LEWIS
Other - Last Name:HOEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NLC
Mailing Address - Street 1:2836 S JOSLIN CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3842
Mailing Address - Country:US
Mailing Address - Phone:720-404-9160
Mailing Address - Fax:
Practice Address - Street 1:2836 S JOSLIN CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-3842
Practice Address - Country:US
Practice Address - Phone:720-404-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0106572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health