Provider Demographics
NPI:1902226145
Name:HAMILTON, GIA RENEE (MS, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:GIA
Middle Name:RENEE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MS
Other - First Name:GIA
Other - Middle Name:RENEE
Other - Last Name:MASTROMANACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1455
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92836
Mailing Address - Country:US
Mailing Address - Phone:951-275-4301
Mailing Address - Fax:
Practice Address - Street 1:10231 RUOFF AVE.
Practice Address - Street 2:(TRANSITIONAL HOUSING PROGRAM)
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604
Practice Address - Country:US
Practice Address - Phone:951-275-4301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT43335106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist