Individual
EMILIE FRASER HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
800 SCENIC DR BLDG D, MODESTO, CA 95350-6131
(209) 525-2070
Mailing address
1529 LORRY AVE, MODESTO, CA 95355-3134
(209) 556-2717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
05/30/2025
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