Individual
MS. PAULINE MARIE HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPHA, LMHC
Contact information
Practice address
1297 HOLIDAY LN, BROOKLYN, IA 52211-9537
(641) 990-1569
(641) 522-3125
Mailing address
1297 HOLIDAY LN, BROOKLYN, IA 52211-9537
(641) 990-1569
(641) 522-3125
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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