Individual
BETH MARIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,MAC,CAADC,CCJP
Contact information
Practice address
2319 PLAINFIELD RD, CREST HILL, IL 60403-1875
(815) 260-7203
Mailing address
2319 PLAINFIELD RD, CREST HILL, IL 60403-1875
(815) 260-7203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24915
IL
1041C0700X
Clinical Social Worker
Primary
149.013243
IL
Other
Enumeration date
05/20/2019
Last updated
07/30/2019
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