Provider Demographics
NPI:1518470350
Name:HOOKER, SHAUNA DENEE (CSAC-A)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:DENEE
Last Name:HOOKER
Suffix:
Gender:F
Credentials:CSAC-A
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:DENEE
Other - Last Name:JAMES-HOOKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSAC-A
Mailing Address - Street 1:7201 CREEKBLUFF RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-8752
Mailing Address - Country:US
Mailing Address - Phone:804-506-0686
Mailing Address - Fax:800-599-4029
Practice Address - Street 1:7201 CREEKBLUFF RIDGE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-8752
Practice Address - Country:US
Practice Address - Phone:804-506-0686
Practice Address - Fax:800-599-4029
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0711000315101YP1600X, 251B00000X, 251S00000X, 405300000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No405300000XOther Service ProvidersPrevention Professional