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NPI Code Detail

MEDICARE: ADELINE HOOKER CSAC

MEDICARE: ADELINE 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
1101YA0400XAddiction (Substance Use Disorder) Counselor13656-132WI

General Provider Information

NPI Number : 1093153199
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELINE HOOKER CSAC
Provider Business Mailing Address
First Line : 4906 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2325
Country : US
Telephone Number : 414-449-4777
Fax Number : 414-270-2971
Provider Business Practice Location Address
First Line : 4906 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-2325
Country : US
Telephone Number : 414-449-4777
Fax Number : 414-270-2971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2013
Last Update Date : 03/18/2026

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