Individual
MARTHA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4800
Mailing address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-25933
NC
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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