Individual
KELLY HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCAS
Contact information
Practice address
825 E 2ND AVE, GASTONIA, NC 28054-4256
(704) 921-3070
Mailing address
5895 JOHNSON RD, CLOVER, SC 29710-8525
(704) 740-7480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
744
NC
101YM0800X
Mental Health Counselor
3767
NC
Other
Enumeration date
12/20/2006
Last updated
09/11/2025
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