Individual
TICOLRYA ANNYHA LOVE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1109 BELLEVIEW ST STE 101, COLUMBIA, SC 29201-1872
(803) 846-2499
Mailing address
1298 RABON POND DR, COLUMBIA, SC 29223-5869
(803) 200-4185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10370
SC
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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