Provider Information for 1134732456
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CARLTON DENZEL HEMPHILL MA, LCPC, NCC
Sex: Male
NPI: 1134732456
Last Updated: 2023-07-19
Certification Date: 2023-07-19
Certification Date: 2023-07-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134732456 | ||||||||
| Enumeration Date | 2020-08-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6151 N WINTHROP AVE APT 1206 CHICAGO, IL 60660-5618 United States Phone: 224-400-3229 | Fax: | ||||||||
| Primary Practice Address | 6151 N WINTHROP AVE APT 1206 CHICAGO, IL 60660-5618 United States Phone: 224-400-3229 | Fax: | ||||||||
| Secondary Practice Address(es) | 913 W WELLINGTON AVE FL 3 | ||||||||
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