Healthcare Provider Details
I. General information
NPI: 1285725531
Provider Name (Legal Business Name): RICHARD J. HOOKER EDD, LPCC, LICDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
USAMEDDAC WUERZBURG, UNIT 26610 ASACS WUERZBURG
APO AE
09244
US
IV. Provider business mailing address
USAMEDDAC WUERZBURG, UNIT 26610 ATTN: CREDENTIALING OFFICE
APO AE
09244
US
V. Phone/Fax
- Phone: 011499312964188
- Fax: 011499312964493
- Phone: 011499318043
- Fax: 011499318043
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 933746 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E-2412 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: