Individual
MRS. CRYSTAL S HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 OZONE DR, HAMMOND, LA 70403-6018
(985) 351-9614
Mailing address
1011 NW CENTRAL AVENUE SUITE N, AMITE, LA 70422
(985) 284-7077
(985) 284-7077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454875652
—
LA
Enumeration date
11/20/2015
Last updated
11/20/2015
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