Provider Demographics
NPI:1932431541
Name:HOOD, JOHN CLAIBORNE (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CLAIBORNE
Last Name:HOOD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8317
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75671-8317
Mailing Address - Country:US
Mailing Address - Phone:903-938-4476
Mailing Address - Fax:903-938-4125
Practice Address - Street 1:301 N WELLINGTON ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-3335
Practice Address - Country:US
Practice Address - Phone:903-938-4476
Practice Address - Fax:903-938-4125
Is Sole Proprietor?:No
Enumeration Date:2010-02-06
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13540101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029054602Medicaid