Provider Demographics
NPI:1861163982
Name:HAMILTON, ROBERT JOHN (LPC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:KRUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76227-9680
Mailing Address - Country:US
Mailing Address - Phone:940-597-7183
Mailing Address - Fax:
Practice Address - Street 1:214 PERKINS RD
Practice Address - Street 2:
Practice Address - City:KRUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:76227-9680
Practice Address - Country:US
Practice Address - Phone:940-597-7183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional