Janice A Hotze, MA

Individual provider Active NPI Professional Counselor · Haines, AK

NPI 1992844336 · NPPES record last updated Sep 23, 2008

Key facts

NPI
1992844336
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
564 (AK)
Practice address
77 Beach Rd
Haines, AK 99827-0888
Phone
(907) 766-6380
Fax
(907) 766-6320
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
564AKMDProfessional Counselor
1798AKMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1798 AK
Professional Counselor 101YP2500X 564 AK Yes

Addresses

Primary practice location

77 Beach Rd
Haines, AK 99827-0888

Mailing address

825 Muncaster
Pob 91
Haines, AK 99827-0091
Phone (907) 766-6380

Other providers in Haines, AK

All providers in Haines, AK · Professional Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.