Hamilton, Jacqueline D

Hamilton, Jacqueline D is an sole proprietor health care provider with primary practice located at 16208 Penterra Way , Bowie MD 20716-1919. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hamilton, Jacqueline D can be contacted via phone (301) 996-1677.

Contact Information

Primary practice address
16208 Penterra Way Bowie MD 20716-1919
Phone: (301) 996-1677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 510345 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC4137 Maryland

Profile Details

NPI number 1629551239
LBN Legal business name Hamilton, Jacqueline D
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2018
Last updated Mar 18th, 2024 - about 2 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 1629551239 NPPES
Maryland MEDICAID 441512400

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