Provider Demographics
NPI:1700590031
Name:HAMILTON FAMILY COUNSELING CONSULTING COACHING AND EDUCATIONAL SERVICE
Entity Type:Organization
Organization Name:HAMILTON FAMILY COUNSELING CONSULTING COACHING AND EDUCATIONAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:D C
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-317-6443
Mailing Address - Street 1:915 WEST FOOTHILL BLVD
Mailing Address - Street 2:SUITE C 433
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3356
Mailing Address - Country:US
Mailing Address - Phone:626-317-6443
Mailing Address - Fax:626-606-1951
Practice Address - Street 1:7365 CARNELIAN STREET
Practice Address - Street 2:SUITE 132
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1158
Practice Address - Country:US
Practice Address - Phone:626-317-6443
Practice Address - Fax:626-606-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health