Provider Demographics
NPI:1881332229
Name:HAMILL, JERALD (LPC)
Entity type:Individual
Prefix:
First Name:JERALD
Middle Name:
Last Name:HAMILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:JERRY
Other - Middle Name:
Other - Last Name:HAMILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8586 W 70TH WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-1718
Mailing Address - Country:US
Mailing Address - Phone:303-881-9292
Mailing Address - Fax:
Practice Address - Street 1:5738 OLDE WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2535
Practice Address - Country:US
Practice Address - Phone:303-834-0872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health