person
Mr. Henry Duane Hamilton I, LCADC,ICADC,CAMF
Addiction (Substance Use Disorder) Counselor in East Orange, New Jersey
NPI 1366685554

Henry Duane Hamilton I is an Addiction (Substance Use Disorder) Counselor based in East Orange, NJ and is specialized in Addiction (Substance Use Disorder). Henry Duane Hamilton I practices in East Orange, NJ and has the professional credentials of LCADC,ICADC,CAMF. The NPI Number for Henry Duane Hamilton I is 1366685554 and holds a License No. 37LC00118000 (New Jersey).

The current practice location address for Henry Duane Hamilton I is 60 Evergreen Pl Ste 200&904, East Orange, NJ and can be reached out via phone at 973-678-6015 and via fax at 973-678-3968. You can also correspond with Henry Duane Hamilton I through the mailing address at 60 EVERGREEN PL STE 200&904, EAST ORANGE, NJ - 07018-2106 (mailing address contact number: 973-678-3966).

Location: 60 Evergreen Pl Ste 200&904, East Orange, NJ, 07018-2106
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Provider Profile Details
NPI Number
1366685554
Provider Name
Henry Duane Hamilton I
Credential
LCADC,ICADC,CAMF
Provider Entity Type
Individual
Gender
Male
Address
60 Evergreen Pl Ste 200&904, East Orange, NJ, 07018-2106
Phone Number
973-678-6015
Fax Number
973-678-3968
Provider Enumeration Date
04/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0491187 05 NJ
0490717 05 NJ
11890384 01 NJ CAQH
8576195 01 NJ AETNA
institution
Provider Business Practice Location Address Details
Address
60 Evergreen Pl Ste 200&904
City
State
Zip
07018
Phone Number
973-678-6015
Fax Number
973-678-3968
person
Provider Business Mailing Address Details
Address
60 Evergreen Pl Ste 200&904
City
State
Zip
07018-2106
Phone Number
973-678-3966
Fax Number
973-678-3968
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
NO106752 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
44SC05363800 (New Jersey)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
37CL00118000 (New Jersey)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
37AC00086900 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 8
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
37LC00118000 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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