MEDICARE: MS. GINGER HAMILTON

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1881800829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GINGER HAMILTON

Provider Business Mailing Address
First Line	:	111 MYRTLE ST # 101
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94607-2525
Country	:	US
Telephone Number	:	510-280-4313
Fax Number	:	510-839-3888

Provider Business Practice Location Address
First Line	:	111 MYRTLE ST # 101
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94607-2525
Country	:	US
Telephone Number	:	510-280-4313
Fax Number	:	510-839-3888

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	04/07/2011

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