Individual
ROYCE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
(315) 234-5987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1610800039
COMMERCIAL
—
01
—
345276
MVP
—
Enumeration date
09/25/2008
Last updated
09/25/2008
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