Individual
KALISHA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 275-7273
Mailing address
146 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 275-7273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
07/31/2018
Last updated
02/19/2019
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