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Individual

MARY AMBER HOOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
225 RIVERGREEN LN, BOWLING GREEN, KY 42103-8726
(270) 991-6857
Mailing address
225 RIVERGREEN LN, BOWLING GREEN, KY 42103-8726

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104174
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YP2500X
TAXONOMY
KY
Enumeration date
01/26/2017
Last updated
03/28/2017
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