Individual
STACIE ANN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
1649 W BROADWAY CT, KOKOMO, IN 46901-1913
(765) 603-8756
Mailing address
1649 W BROADWAY CT, KOKOMO, IN 46901-1913
(765) 603-8756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003169A
IN
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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