Individual
ANDERSON R HAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LSW
Contact information
Practice address
272 RAVENSHOLLOW DR, CUYAHOGA FALLS, OH 44223-2895
(330) 329-8425
Mailing address
272 RAVENSHOLLOW DR, CUYAHOGA FALLS, OH 44223-2895
(330) 329-8425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.84168-CSSR
OH
101YM0800X
Mental Health Counselor
Primary
E.002550-SUPV
OH
104100000X
Social Worker
S.0009491
OH
Other
Enumeration date
03/19/2015
Last updated
04/06/2015
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