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Individual

MS. PAULINE MARIE HAMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPHA, LMHC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001030
IA
101YP2500X
Professional Counselor
Primary
001030
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101199
LMHC
IA
01
12505168
CAQH
IA
05
600676531
IA
Enumeration date
03/05/2007
Last updated
01/02/2021
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