Individual
CHEVONNE A HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
(602) 449-0032
Mailing address
1031 W LAGUNA DR, TEMPE, AZ 85282-4664
(480) 462-8443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-19846
AZ
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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