Individual
KHAYA SHEALETTE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
1732 TIDEWATER DR, SLIDELL, LA 70458-5386
(225) 253-8775
Mailing address
1732 TIDEWATER DR, SLIDELL, LA 70458-5386
(225) 253-8775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3690
LA
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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