Individual
LAREESA HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 BERKELEY AVE, SAINT PAUL, MN 55105-2801
(763) 742-5812
Mailing address
1234 BERKELEY AVE, SAINT PAUL, MN 55105-2801
(763) 742-5812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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