Provider Demographics
NPI:1942241385
Name:HOOGE, VALERIE JEAN (LPC)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:JEAN
Last Name:HOOGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 GRAND AVENUE PKWY
Mailing Address - Street 2:BLDG 9 APT#307
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4959
Mailing Address - Country:US
Mailing Address - Phone:512-696-5491
Mailing Address - Fax:
Practice Address - Street 1:1525 GRAND AVENUE PKWY
Practice Address - Street 2:BLDG 9 APT#307
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4959
Practice Address - Country:US
Practice Address - Phone:512-696-5491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2009-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14461101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113097302Medicaid