MEDICARE: SHAUNA DENEE JAMES-HOOKER CSAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	0710103599	VA
2	251S00000X	Community/Behavioral Health Agency	0710103599	VA
3	405300000X	Prevention Professional	0710103599	VA
4	101YP1600X	Pastoral Counselor	0710103599	VA
5	251B00000X	Case Management Agency	0710103599	VA

General Provider Information

NPI Number	:	1518470350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAUNA DENEE JAMES-HOOKER CSAC

Provider Business Mailing Address
First Line	:	11923 CENTRE ST STE B3
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1702
Country	:	US
Telephone Number	:	804-506-0686
Fax Number	:

Provider Business Practice Location Address
First Line	:	11923 CENTRE ST STE B3
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1702
Country	:	US
Telephone Number	:	804-506-0686
Fax Number	:	800-599-4029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	02/24/2026

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