Individual
MS. CYNTHIA A HAMALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
201 CREST ST, BURLINGTON, WI 53105
(262) 767-0440
(262) 767-0777
Mailing address
2929 WYCLIFF AVE, 2233, DALLAS, TX 75219-2646
(262) 716-1825
(262) 767-0777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
3262125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40948300
—
WI
Enumeration date
04/17/2006
Last updated
08/06/2010
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