MEDICARE: MR. DAVID REESE 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
1	101Y00000X	Counselor	89516	TX

General Provider Information

NPI Number	:	1972350353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID REESE HOOPER LPC

Provider Business Mailing Address
First Line	:	7201 OLD DECATUR RD APT 402
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-7202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5637 N TARRANT PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-7321
Country	:	US
Telephone Number	:	817-803-6356
Fax Number	:

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

Provider Enumeration Date	:	05/02/2024
Last Update Date	:	05/02/2024

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Directions to “ MR. DAVID REESE HOOPER LPC” Practice Location

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