Individual
MS. MICHELLE ROSE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A.
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27254
NC
101YP2500X
Professional Counselor
Primary
AMFT138646
CA
Other
Enumeration date
06/04/2021
Last updated
10/15/2025
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