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Individual

KORISSA HOOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
302 MEADOWOOD DR APT C1, CARBONDALE, CO 81623-9201
(970) 216-4066
Mailing address
PO BOX 1732, CARBONDALE, CO 81623-4732
(970) 216-4066

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001949
CO
101YP2500X
Professional Counselor
Primary
LPC.0020552
CO
101YP2500X
Professional Counselor
LPCC.0019047
CO

Other

Enumeration date
05/08/2018
Last updated
04/19/2026
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