| Doctor Name: | ADAM GORDON HAMILTON |
| NPI Number: | 1417247768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LLPC |
| License Number: | 6401011306 |
| Business Practice Address: | 50505 Schoenherr Rd Ste. 270 Shelby Twp, MI - 483153140 |
| Business Phone Number: | 5867314100 |
| Business Fax Number: | 5867314063 |
| Mailing Address: | 3345 Aspen Dr Apt 4203, ORION |
| State: | MI |
| Postal Code: | 483592323 |
| Phone Number: | 2485685180 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2011 |
| NPI Last Update Date: | 04/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401011306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |