Individual provider · NPI-1

Deseray T Hamilton

Counselor, Mental Health · North Lauderdale, FL

NPI number1104242130
StatusActive
Last updated in NPPESJan 21, 2021

Details

NPI
1104242130
Entity type
Individual (NPI-1)
Name
Deseray T Hamilton
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2014
Certification date
Jan 21, 2021
Last updated
Jan 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthMH18588FLYes
103K00000X Behavior Analyst––

Practice location

7154 Sportsmans Dr
North Lauderdale, FL 33068-5456

Phone 718-825-1996

Mailing address

7154 Sportsmans Dr
North Lauderdale, FL 33068-5456

Phone 718-825-1996

Other practice locations

8001 Sw 36th St
Suite 9
Davie, FL 33328-1915

Phone 954-577-7790 · Fax 954-577-7780

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