Provider Demographics
NPI:1548074842
Name:HAMPTON, CHAD DANIEL (LMFT)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:DANIEL
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 MEDEA CREEK LN
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-3840
Mailing Address - Country:US
Mailing Address - Phone:310-200-0250
Mailing Address - Fax:
Practice Address - Street 1:351 MEDEA CREEK LN
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:CA
Practice Address - Zip Code:91377-3840
Practice Address - Country:US
Practice Address - Phone:310-200-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT43403101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health