Individual
LENORA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3582 POPLAR SHOALS LN, ELLENWOOD, GA 30294-4235
(404) 907-4755
Mailing address
3582 POPLAR SHOALS LN, ELLENWOOD, GA 30294-4235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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