Doctor Name: | BRENDA HAMILTON |
NPI Number: | 1336556786 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SWP-LCSW-LIC-7971 |
Business Practice Address: | 6230 Main St Colstrip, MT - 593239520 |
Business Phone Number: | 4066717141 |
Business Fax Number: | |
Mailing Address: | Po Box 864, COLSTRIP |
State: | MT |
Postal Code: | 593230864 |
Phone Number: | 4066717141 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2014 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SWP-LCSW-LIC-7971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |