Provider Demographics
NPI:1255600144
Name:HOOK, WANDA ZOE (COUNSELOR)
Entity type:Individual
Prefix:MS
First Name:WANDA
Middle Name:ZOE
Last Name:HOOK
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 KAWANEE AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-3141
Mailing Address - Country:US
Mailing Address - Phone:504-715-5611
Mailing Address - Fax:
Practice Address - Street 1:6601 KAWANEE AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-3141
Practice Address - Country:US
Practice Address - Phone:504-715-5611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker