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NPI Code Detail

MEDICARE: DARRELL HAMILTON

MEDICARE: DARRELL 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
1106H00000XMarriage & Family Therapist151135CA
2101YA0400XAddiction (Substance Use Disorder) CounselorLCI10051217CA

General Provider Information

NPI Number : 1760719561
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRELL HAMILTON
Provider Business Mailing Address
First Line : 1396 W HERNDON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-7126
Country : US
Telephone Number : 559-753-3376
Fax Number :
Provider Business Practice Location Address
First Line : 1396 W HERNDON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-7126
Country : US
Telephone Number : 559-256-4474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2009
Last Update Date : 02/12/2026

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Directions to “ DARRELL HAMILTON ” Practice Location

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