Provider Demographics
NPI:1801010137
Name:HAMPSON, ANNE COWICK (DMIN, LCPC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:COWICK
Last Name:HAMPSON
Suffix:
Gender:F
Credentials:DMIN, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 W WASHINGTON ST
Mailing Address - Street 2:200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-2801
Mailing Address - Country:US
Mailing Address - Phone:248-933-5152
Mailing Address - Fax:312-236-4106
Practice Address - Street 1:77 W WASHINGTON ST
Practice Address - Street 2:200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2801
Practice Address - Country:US
Practice Address - Phone:248-933-5152
Practice Address - Fax:312-236-4106
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health