Individual
BAYLEE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-4035
(505) 312-7296
Mailing address
828 RIVERSIDE DR SW, ALBUQUERQUE, NM 87105-3970
(817) 914-0190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0223301
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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