Individual
KIRK HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
(706) 845-4367
Mailing address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
(706) 845-4367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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