Individual
MR. OLLIE DENNIS HOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
4723 TANGLEWOOD OAKS ST, RALEIGH, NC 27610-3159
(919) 610-7892
Mailing address
4723 TANGLEWOOD OAKS ST, RALEIGH, NC 27610-3159
(919) 610-7892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1017
NC
101YM0800X
Mental Health Counselor
1017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142CP
BLUE CROCC BLUE SHIELD
NC
05
—
6111894
—
NC
Enumeration date
12/01/2006
Last updated
04/21/2016
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