Individual
ANN MUSHLITZ HAWKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDCC-II-CS,ICADC-II
Contact information
Practice address
9121 FOLSOM BLVD, SACRAMENTO, CA 95826-2473
(530) 314-1204
Mailing address
20271 SW BIRCH ST, NEWPORT BEACH, CA 92660-1752
(530) 314-1204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15988
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/20/2019
Last updated
03/19/2024
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