Individual
CYNTHIA HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 HOOVER ST, JEFFERSON CITY, MO 65109-0800
(573) 632-4321
(573) 632-4324
Mailing address
1803 SUN VALLEY DR STE A, JEFFERSON CITY, MO 65109-2178
(573) 616-3007
(573) 616-3008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2014042825
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
2014042825
MO
101YM0800X
Mental Health Counselor
2014042825
MO
101YP2500X
Professional Counselor
Primary
2014042825
MO
Other
Enumeration date
10/01/2015
Last updated
05/22/2020
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