Individual
HAMILTON TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 863-5819
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 863-5819
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21600
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/03/2018
Last updated
12/20/2025
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