Healthcare Provider Details

I. General information

NPI: 1588592448
Provider Name (Legal Business Name): JESSICA JOYOUS HAMILTON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1458 W SANDGATE RD
SANDGATE VT
05250-9565
US

IV. Provider business mailing address

1458 W SANDGATE RD
SANDGATE VT
05250-9565
US

V. Phone/Fax

Practice location:
  • Phone: 802-266-1359
  • Fax:
Mailing address:
  • Phone: 802-266-1359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number097.0134661
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: