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NPI Code Detail

MEDICARE: JASMINE HAMILTON CDCA

MEDICARE: JASMINE HAMILTON CDCA
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194742OH

General Provider Information

NPI Number : 1669339024
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE HAMILTON CDCA
Provider Business Mailing Address
First Line : 887 WASHINGTON AVE
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3567
Country : US
Telephone Number : 740-773-3272
Fax Number : 740-773-3279
Provider Business Practice Location Address
First Line : 242 E MAIN ST
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-3414
Country : US
Telephone Number : 740-773-3272
Fax Number : 740-773-3279
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ JASMINE HAMILTON CDCA” Practice Location

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