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Individual

MRS. ADDIE HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC LMHC CRC LPN

Contact information

Practice address
27 CHAMPLIN AVENUE, BELLPORT, NY 11713
(631) 661-5518
Mailing address
440 SPANGLE DRIVE, NORTH BABYLON, NY 11703
(631) 321-8655

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12290
NY
101YM0800X
Mental Health Counselor
Primary
0005621
NY
164W00000X
Licensed Practical Nurse
098015
NY

Other

Enumeration date
05/29/2007
Last updated
01/05/2011
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