Hamilton, Henry Duane

Hamilton, Henry Duane is an individual health care provider with primary practice located at 60 Evergreen Pl Ste 200&904 , East Orange NJ 07018. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hamilton, Henry Duane can be contacted via phone (973) 678-6015.

Contact Information

Primary practice address
60 Evergreen Pl Ste 200&904 East Orange NJ 07018
Phone: (973) 678-6015
Fax: (973) 678-3968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 37LC00118000 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37AC00086900 New Jersey
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 37CL00118000 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05363800 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 37LC00118000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NO106752 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 37LC00118000 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00118000 New Jersey

Profile Details

NPI number 1366685554
LBN Legal business name Hamilton, Henry Duane
Credentials LCADC, ICADC, CAMF
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2009
Last updated Sep 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366685554 NPPES
New Jersey MEDICAID 0491187
New Jersey MEDICAID 0490717
New Jersey Other 11890384
New Jersey Other 8576195

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