Individual
COURTNEY HOLLEY HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCS, LCAS, CCS
Contact information
Practice address
542 WILLIAMSON RD STE 4, MOORESVILLE, NC 28117-9138
(704) 245-3016
Mailing address
198 WINTERBELL DR, MOORESVILLE, NC 28115-6998
(704) 245-3016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S7674
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
3130
NC
101YP2500X
Professional Counselor
Primary
7674
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167PR
BCBS
—
Enumeration date
09/07/2011
Last updated
06/18/2020
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