Provider Demographics
NPI:1912353178
Name:HAMILTON-JEFFERSON, CHERYL A (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:HAMILTON-JEFFERSON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 NW 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-7031
Mailing Address - Country:US
Mailing Address - Phone:503-577-5109
Mailing Address - Fax:
Practice Address - Street 1:7708 NE 78TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-3603
Practice Address - Country:US
Practice Address - Phone:503-577-5109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60882399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health