Provider Demographics
NPI:1629793526
Name:HOOVER, CIARA JADE (LGPC)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:JADE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27747 YANAK CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3343
Mailing Address - Country:US
Mailing Address - Phone:301-542-4767
Mailing Address - Fax:
Practice Address - Street 1:23127 THREE NOTCH RD STE 101
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-2403
Practice Address - Country:US
Practice Address - Phone:301-866-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13184101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor