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Provider Information for 1952747008


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Mr. RAHIEM KADIR HAMPTON M.A., L.P.C., N.C.C.


Sex: Male

NPI: 1952747008
Last Updated: 2013-05-16
Certification Date:

Details

NameValue
NPI1952747008
Enumeration Date2013-05-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1250 HORSESHOE CIR
APT. 106
ANN ARBOR, MI 48108-2821
United States

Phone: 313-720-7841 | Fax:
 
Primary Practice Address 2051 W GRAND BLVD
DETROIT, MI 48208-1105
United States

Phone: 313-961-3200 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMI6401011163