Organization
ROCHESTER EVIDENCE-BASED PSYCHOTHERAPY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM G. HAMILTON MA, LPC, LLMFT, NCC (OWNER)
(248) 568-5180
Entity
Organization
Contact information
Practice address
414 S MAIN ST, SUITE 201, ROCHESTER, MI 48307
(248) 568-5180
(248) 429-2132
Mailing address
414 S MAIN ST, SUITE 201, ROCHESTER, MI 48307-2068
(248) 568-5180
(248) 429-2132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011306
MI
106H00000X
Marriage & Family Therapist
4101006671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417247768
INDIVIDUAL NPI
—
Enumeration date
11/07/2016
Last updated
06/22/2018
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