Provider Demographics
NPI:1518368950
Name:HAMILTON, HEATHER (PHD, LMHC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 COMMERCIAL AVE.
Mailing Address - Street 2:#2125
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-8102
Mailing Address - Country:US
Mailing Address - Phone:360-547-3941
Mailing Address - Fax:
Practice Address - Street 1:3218 R AVE STE B
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-3489
Practice Address - Country:US
Practice Address - Phone:360-899-6267
Practice Address - Fax:360-991-0020
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60428818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health