Alexandra Hamilton, BA MHP
Counselor, Mental Health in Vienna, IL. Individual provider (NPI-1).
NPI number1164078606
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1164078606
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Hamilton
- Credential
- BA MHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2019
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Alexandra Hennigh (Former Name)
Practice location
101 Oliver StVienna, IL 62995-1660
Phone 618-658-2611 · Fax 618-658-2501
Mailing address
101 Oliver StVienna, IL 62995-1660
Phone 618-658-2611 · Fax 618-658-2501
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