Individual
LUCAS JAY HOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
136 S ACADEMY AVE, EAGLE, ID 83616-6541
(208) 861-3411
Mailing address
6275 N HEATHROW CT, BOISE, ID 83713-0970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
07/16/2023
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