Individual
HANNAH MONK HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
930 EBENEZER BLVD., SUITE D, MADISIN, MS 39110
(601) 707-8839
Mailing address
508 PLAINVIEW CIR, RICHLAND, MS 39218-9608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2085
MS
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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