Provider Demographics
NPI:1013219443
Name:HOOVER, SHARON N (LCDC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:N
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 FANNIN DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-8103
Mailing Address - Country:US
Mailing Address - Phone:361-550-2521
Mailing Address - Fax:
Practice Address - Street 1:102 BUSINESS DR W
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4326
Practice Address - Country:US
Practice Address - Phone:830-367-4667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7537101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)