Individual
MS. ANN HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10175 FORTUNE PKWY, SUITE 1102, JACKSONVILLE, FL 32256-6746
(904) 449-0792
(904) 287-8335
Mailing address
10175 FORTUNE PKWY, SUITE 1102, JACKSONVILLE, FL 32256-6746
(904) 449-0792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 8834
FL
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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