Provider Demographics
NPI:1992036628
Name:HAMM, JAMES STEVEN (LCPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:STEVEN
Last Name:HAMM
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 W THIRD ST
Mailing Address - Street 2:
Mailing Address - City:MANTENO
Mailing Address - State:IL
Mailing Address - Zip Code:60950-1105
Mailing Address - Country:US
Mailing Address - Phone:815-468-1445
Mailing Address - Fax:
Practice Address - Street 1:291 W THIRD ST
Practice Address - Street 2:
Practice Address - City:MANTENO
Practice Address - State:IL
Practice Address - Zip Code:60950-1105
Practice Address - Country:US
Practice Address - Phone:815-468-1445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health