Provider Demographics
NPI:1366758856
Name:HOCKIN, ALEAH DIANE (BS)
Entity type:Individual
Prefix:
First Name:ALEAH
Middle Name:DIANE
Last Name:HOCKIN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ALEAH
Other - Middle Name:DIANE
Other - Last Name:KITZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-0040
Mailing Address - Country:US
Mailing Address - Phone:970-945-2241
Mailing Address - Fax:970-945-5523
Practice Address - Street 1:17497 HIGHWAY 64 W
Practice Address - Street 2:
Practice Address - City:RANGELY
Practice Address - State:CO
Practice Address - Zip Code:81648-2522
Practice Address - Country:US
Practice Address - Phone:970-675-8411
Practice Address - Fax:970-675-2508
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program