Provider Demographics
NPI:1518443043
Name:HAMILTON, BRIDGETTE (CDCA)
Entity Type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:BRIDGETTE
Other - Middle Name:
Other - Last Name:LAGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CDCA
Mailing Address - Street 1:442 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-2936
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:442 S 2ND ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-2936
Practice Address - Country:US
Practice Address - Phone:513-868-4980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)