Kristin L Hamilton, LPC

Individual provider Active NPI Professional Counselor · Grand Ledge, MI

NPI 1477644243 · NPPES record last updated Jul 5, 2016

Key facts

NPI
1477644243
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401007574 (MI)
Practice address
1035 Charlevoix Dr
Suite 100
Grand Ledge, MI 48837-2223
Phone
(517) 627-2181
Fax
(517) 622-1242
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401007574MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401007574 MI Yes

Addresses

Primary practice location

1035 Charlevoix Dr
Suite 100
Grand Ledge, MI 48837-2223

Mailing address

7326 Captiva Dr
Lansing, MI 48917-8842
Phone (517) 703-0349

Other identifiers

IdentifierTypeStateIssuer
1715928MedicaidMI

Other providers in Grand Ledge, MI

All providers in Grand Ledge, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.