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Individual
MR. TYRONE WENDELL HAMPTON
Active
Individual
MR. TYRONE WENDELL HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
AC0045
MD
101Y00000X
Counselor
CACII1110
MD
101Y00000X
Counselor
NAT1000043
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1110
DC
Other
Enumeration date
01/22/2007
Last updated
06/28/2024
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