Individual
MRS. LATRICE HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9821 GOODMAN RD, OLIVE BRANCH, MS 38654-1721
(901) 832-1507
Mailing address
9821 GOODMAN RD, OLIVE BRANCH, MS 38654-1721
(901) 832-1507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2369
MS
101YP2500X
Professional Counselor
LPC 5828
LA
Other
Enumeration date
02/16/2017
Last updated
08/06/2024
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