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General NPI Number Information
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NPI Number | 1114991353
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Entity Type | Individual
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Provider Name | PAMELA ANNE HAMILTON LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1710 ALLEN ST
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City | KELSO
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State | WA
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Zip | 98626-4907
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Country | US
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Telephone | 360-261-7020
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Fax | 360-261-7030
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Provider Business Mailing Address
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Address Line | 921 14TH AVE
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City | LONGVIEW
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State | WA
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Zip | 98632-2316
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Country | US
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Telephone | 360-423-0203
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Fax | 360-577-0269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH60496010
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC004359
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License Number State | GA
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