Provider Demographics
NPI:1962621425
Name:HOFF, JANE ELIZABETH (LMFT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:HOFF
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 RIVER ROCK DR
Mailing Address - Street 2:SUITE #210
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2093
Mailing Address - Country:US
Mailing Address - Phone:916-988-5531
Mailing Address - Fax:916-987-9749
Practice Address - Street 1:10877 CONDUCTOR BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SUTTER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95685-9687
Practice Address - Country:US
Practice Address - Phone:209-223-6412
Practice Address - Fax:209-223-0920
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38961106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC38961OtherMARRIAGE AND FAMILY THERA