Martha Hooper, BSW, CADC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mount Carmel, IL

NPI 1083801013 · NPPES record last updated Nov 6, 2007

Key facts

NPI
1083801013
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
602 E 5TH St
Mount Carmel, IL 62863-2152
Phone
(618) 262-7473
Fax
(618) 262-8810
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

602 E 5TH St
Mount Carmel, IL 62863-2152

Mailing address

PO Box M
504 Micah Drive
Olney, IL 62450-0913
Phone (618) 395-4306

Other providers in Mount Carmel, IL

All providers in Mount Carmel, IL · Addiction (Substance Use Disorder) Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.