Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 499 | NC |
N | 101YP2500X | Professional Counselor | 734 | NC |
NPI | 1003966565 |
---|---|
Provider Name | Anthony Steven Hamrick |
First Address | Spindale, NC 28160-0322 |
Second Address | Spindale, NC 28160-1514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |