Provider Demographics
NPI:1447414768
Name:HAMLIN, NATHAN M (M COUN, LPC)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:M
Last Name:HAMLIN
Suffix:
Gender:M
Credentials:M COUN, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2537 W STATE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-2200
Mailing Address - Country:US
Mailing Address - Phone:208-908-4410
Mailing Address - Fax:208-908-4411
Practice Address - Street 1:2537 W STATE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-2200
Practice Address - Country:US
Practice Address - Phone:208-908-4410
Practice Address - Fax:208-908-4411
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4036101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional