Individual
TIFFANY MARIE HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(312) 789-6894
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(312) 789-6894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IL
175T00000X
Peer Specialist
Primary
—
IL
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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