Individual
DR. STACIE LYNNE HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, IMHC
Contact information
Practice address
1317 LANTERN LIGHTS CIR, LEBANON, IL 62254-1842
(618) 920-6245
Mailing address
1317 LANTERN LIGHTS CIR, LEBANON, IL 62254-1842
(618) 920-6245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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