Individual
MRS. ANNE HAWTHORNE KILLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3500 N A ST, SUITE 2400, MIDLAND, TX 79705-2554
(432) 550-5683
(432) 818-2176
Mailing address
1207 NEELY AVE, MIDLAND, TX 79705-7530
(432) 362-0049
(432) 362-0046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184757601
—
TX
Enumeration date
05/18/2007
Last updated
12/23/2014
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