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Individual

JOHNNY HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMFT

Contact information

Practice address
50 MAIN ST, SUITE 1000- 1020, WHITE PLAINS, NY 10606-1901
(917) 387-4972
Mailing address
50 MAIN ST, SUITE 1000- 1020, WHITE PLAINS, NY 10606-1901
(917) 387-4972

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
06 001014
NY
225400000X
Rehabilitation Practitioner

Other

Enumeration date
02/01/2010
Last updated
01/16/2015
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