Individual
MS. KENDALL HAVEN HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, CEAP
Contact information
Practice address
706 CADET COURT, LEBANON, TN 37087
(615) 714-2088
(615) 449-4709
Mailing address
PO BOX 1571, SPRINGFIELD, TN 37172
(615) 714-2088
(615) 449-4709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1519
TN
101YP2500X
Professional Counselor
Primary
1519
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441132
—
TN
Enumeration date
01/08/2007
Last updated
05/28/2014
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