Individual
MRS. AMANDA C HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
57505 COUNTY ROAD U 60, MOFFAT, CO 81143-9760
(719) 850-2523
Mailing address
57505 COUNTY ROAD U 60, MOFFAT, CO 81143
(719) 850-2523
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0477723
CO
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
0477723
CO
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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