Individual
MR. CHRIS C HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, ACSW
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(317) 272-3334
(317) 272-3331
Mailing address
4825 OSSINGTON CT, INDIANAPOLIS, IN 46254-4881
(317) 329-0777
(317) 272-3331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188929
ANTHEM BCBS PROVIDER PIN
IN
Enumeration date
05/18/2006
Last updated
08/28/2007
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