MEDICARE: JAMIE L HAMELINK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	11394-125	WI

General Provider Information

NPI Number	:	1417671496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE L HAMELINK

Provider Business Mailing Address
First Line	:	922 HAVEY RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53704-1354
Country	:	US
Telephone Number	:	608-292-0780
Fax Number	:

Provider Business Practice Location Address
First Line	:	4009 FELLAND RD STE 105
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53718-6463
Country	:	US
Telephone Number	:	608-205-8302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	02/06/2025

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Directions to “ JAMIE L HAMELINK ” Practice Location

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