Individual
BRIDGET HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RASAC II
Contact information
Practice address
2949 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-2713
(314) 961-6017
(314) 961-6436
Mailing address
900 E LAHARPE ST, KIRKSVILLE, MO 63501-4520
(660) 665-1962
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2758
MO
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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