Provider Demographics
NPI:1417477795
Name:JEAN HAMILTON COUNSELING PLLC
Entity Type:Organization
Organization Name:JEAN HAMILTON COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA
Authorized Official - Phone:919-943-6245
Mailing Address - Street 1:2466 FOXWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6802
Mailing Address - Country:US
Mailing Address - Phone:919-360-0428
Mailing Address - Fax:
Practice Address - Street 1:1829 E FRANKLIN ST STE 100A
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5865
Practice Address - Country:US
Practice Address - Phone:919-943-6245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0085041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty