Provider Demographics
NPI:1982266797
Name:HOPKINS, JENIFER LYNN (LCPC-8853)
Entity Type:Individual
Prefix:
First Name:JENIFER
Middle Name:LYNN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LCPC-8853
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 MESA VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BUHL
Mailing Address - State:ID
Mailing Address - Zip Code:83316-5149
Mailing Address - Country:US
Mailing Address - Phone:208-731-1523
Mailing Address - Fax:
Practice Address - Street 1:4525 MESA VIEW RD
Practice Address - Street 2:
Practice Address - City:BUHL
Practice Address - State:ID
Practice Address - Zip Code:83316-5149
Practice Address - Country:US
Practice Address - Phone:208-731-1523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-7385101YM0800X
IDLCPC-8853101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health