Individual
MISS SHANNTELL K HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3030 GREENMOUNT AVE STE 250, BALTIMORE, MD 21218-6905
(443) 554-8905
(410) 480-0110
Mailing address
PO BOX 6554, COLUMBIA, MD 21045-6554
(917) 520-0621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC12278
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206933401
—
MD
Enumeration date
05/18/2021
Last updated
04/29/2022
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