| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACK M HOOVER | 1831827807 | 2022-08-09 |
Jack M Hoover is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831827807. Registration indicates Jack M Hoover is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Mr. Jack M Hoover CDCA |
| Practice Office Address | 10098 HILLCREST RD KIRTLAND, OH US |
| Practice Office Telephone | 3303278517 |
| Mailing Address | 10098 HILLCREST RD KIRTLAND, OH 440949539 US |
| Business Telephone | 3303278517 |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | LCDCII.161978
OH |
| 101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |