Individual
TAJA R HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 MAIN ST, BAKER, LA 70714-3767
(225) 778-6783
Mailing address
350 MAIN ST, BAKER, LA 70714-3767
(225) 778-6783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CIT-5151
LA
101YM0800X
Mental Health Counselor
Primary
PLC9243
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
LA
Enumeration date
08/11/2017
Last updated
05/05/2023
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