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Individual
JASON HAWKINS
Active
Individual
JASON HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401012195
MI
101YM0800X
Mental Health Counselor
Primary
6401012195
MI
106H00000X
Marriage & Family Therapist
6401012195
MI
Other
Enumeration date
11/14/2011
Last updated
05/20/2013
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