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NPI Code Detail

MEDICARE: JASON HOOPER LPC

MEDICARE: JASON HOOPER LPC
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
1101YP2500XProfessional CounselorLCPC-6509ID

General Provider Information

NPI Number : 1770804320
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON HOOPER LPC
Provider Business Mailing Address
First Line : 203 N WASHINGTON ST STE 300
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0254
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 317 W 6TH ST STE 208
Second Line :
City : MOSCOW
State : ID
Zip : 83843-2387
Country : US
Telephone Number : 208-874-2962
Fax Number : 208-848-8303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 12/02/2023

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Directions to “ JASON HOOPER LPC” Practice Location

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