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Individual

MRS. DEANA STACKHOUSE HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CPCS, MAMFT

Contact information

Practice address
1566 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-5045
(678) 701-8584
Mailing address
642 WILLARD AVE SW, ATLANTA, GA 30310-2368
(716) 361-8340

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
LPC007545
GA
106H00000X
Marriage & Family Therapist

Other

Enumeration date
10/13/2022
Last updated
10/13/2022
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