Provider Demographics
NPI:1386749539
Name:HOEM, CINNAMON JEAN
Entity type:Individual
Prefix:MRS
First Name:CINNAMON
Middle Name:JEAN
Last Name:HOEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINNAMON
Other - Middle Name:JEAN
Other - Last Name:HOEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:817 GIN CT
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-6689
Mailing Address - Country:US
Mailing Address - Phone:605-645-9790
Mailing Address - Fax:
Practice Address - Street 1:113 COMANCHE RD
Practice Address - Street 2:
Practice Address - City:FORT MEADE
Practice Address - State:SD
Practice Address - Zip Code:57741-1002
Practice Address - Country:US
Practice Address - Phone:180-074-3107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1933104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker