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Individual

JOSEPH HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-8547
(765) 453-8780
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC1900X
Counseling Psychologist
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201111550A
IN
05
201111550B
IN
05
201111550C
IN
05
201111550D
IN
05
201111550E
IN
05
201281130A
IN
Enumeration date
02/08/2016
Last updated
02/23/2017
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