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NPI Code Detail

MEDICARE: SUSANNE HAMILTON LPC, MAC, NCC

MEDICARE:   SUSANNE  HAMILTON  LPC, MAC, NCC
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
1101YP2500XProfessional CounselorLPC007155GA

General Provider Information

NPI Number : 1740691211
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNE HAMILTON LPC, MAC, NCC
Provider Business Mailing Address
First Line : 725 SWEET HILL RD
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-5559
Country : US
Telephone Number : 912-312-5676
Fax Number :
Provider Business Practice Location Address
First Line : 9998 FORD AVE
Second Line : STE 6
City : RICHMOND HILL
State : GA
Zip : 31324-4063
Country : US
Telephone Number : 912-312-5676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2014
Last Update Date : 02/18/2015

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Directions to “ SUSANNE HAMILTON LPC, MAC, NCC” Practice Location

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