Individual
PHILLIP A HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW LAC
Contact information
Practice address
101 E BROADWAY, STE 402, MISSOULA, MT 59802
(406) 546-7956
Mailing address
101 E BROADWAY, STE 402, MISSOULA, MT 59802
(406) 546-7956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
916
MT
1041C0700X
Clinical Social Worker
608LCSW
MT
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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