Provider Information for 1134279953
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Mr. KEVIN JOHN HOOPS M.S., NCC, LPC
Sex: Male
NPI: 1134279953
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1134279953 | ||||||||
| Enumeration Date | 2007-01-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 343 COUNTRY CLUB CIR PRESCOTT, AZ 86303-5668 United States Phone: 928-713-5411 | Fax: | ||||||||
| Primary Practice Address | 537 NORTH 6TH ST SUITE C PRESCOTT, AZ 86301-2021 United States Phone: 928-777-1048 | Fax: | ||||||||
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