Individual
MRS. ANGIE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5101 WATERFORD DR SW, MABLETON, GA 30126-1742
(561) 758-8268
Mailing address
5101 WATERFORD DR SW, MABLETON, GA 30126-1742
(561) 758-8268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC011304
GA
101YM0800X
Mental Health Counselor
LPC011304
GA
101YP2500X
Professional Counselor
Primary
LPC011304
GA
102L00000X
Psychoanalyst
LPC011304
GA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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