Provider Demographics
NPI:1932538303
Name:HOOK, ANGELA (MS, LPC-IT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:HOOK
Suffix:
Gender:F
Credentials:MS, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 N GRANDVIEW BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-5585
Mailing Address - Country:US
Mailing Address - Phone:414-304-3602
Mailing Address - Fax:
Practice Address - Street 1:2831 N GRANDVIEW BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-5585
Practice Address - Country:US
Practice Address - Phone:414-304-3602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1901-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional