Provider Demographics
NPI:1174657423
Name:HAMILTON, WILLIAM CARL (LPC UNDER SUPERVISIO)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CARL
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:LPC UNDER SUPERVISIO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 SW 89TH ST
Mailing Address - Street 2:APT. M
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6350
Mailing Address - Country:US
Mailing Address - Phone:405-248-7801
Mailing Address - Fax:
Practice Address - Street 1:4400 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5104
Practice Address - Country:US
Practice Address - Phone:405-425-0431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program