Individual
JASON THOMAS HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 WASHINGTON ST, AMHERSTDALE, WV 25607
(304) 687-9510
(304) 687-9510
Mailing address
1 WASHINGTON AVE, LOGAN, WV 25601-3965
(304) 687-9510
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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