Provider Demographics
NPI:1467790659
Name:HAMILTON ROBERTSON, JORDAN (MA, LMFT-A)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:HAMILTON ROBERTSON
Suffix:
Gender:F
Credentials:MA, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 W HOPKINS ST
Mailing Address - Street 2:4B
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-4471
Mailing Address - Country:US
Mailing Address - Phone:512-667-7218
Mailing Address - Fax:
Practice Address - Street 1:801 HAZELTON ST
Practice Address - Street 2:APT. B
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-3189
Practice Address - Country:US
Practice Address - Phone:512-667-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201935106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist