Individual
MR. ANDREI DARRELL HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R, ACSW
Contact information
Practice address
16007 132ND AVE SIDE DOOR, JAMAICA, NY 11434-2911
(347) 707-0389
Mailing address
16007 132ND AVE SIDE DOOR, JAMAICA, NY 11434-2911
(347) 707-0389
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
022817R
NY
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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