Individual
CANDANCE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1810 HARPER RD, BECKLEY, WV 25801-3331
(681) 207-7123
Mailing address
136 GOODMAN DR, BECKLEY, WV 25801-9626
(304) 255-7049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BP00945284
WV
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP00945284
GRADUATE SOCIAL WORKER
WV
Enumeration date
09/07/2018
Last updated
09/07/2018
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