Individual
JON M HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
7232 CANARY LN NE, ALBUQUERQUE, NM 87109-6007
(505) 900-8392
Mailing address
7232 CANARY LN NE, ALBUQUERQUE, NM 87109-6007
(505) 900-8392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSA0213811
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSA0213811
COUNSELING LICENSE
NM
Enumeration date
04/07/2021
Last updated
12/19/2025
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