Individual
MR. MICHAEL P HAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC, ICADC, SAP
Contact information
Practice address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
Mailing address
825 W LINEBAUGH AVE, TAMPA, FL 33612-7855
(813) 931-5560
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC100256
FL
171M00000X
Case Manager/Care Coordinator
—
—
405300000X
Prevention Professional
CAC100256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAC100256
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
03/10/2020
Last updated
06/16/2020
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