Individual
BRADLEY WILLIAM HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
724 RICHLAND AVE W, AIKEN, SC 29801-3832
(803) 257-0105
Mailing address
1484 LYON DR SE, AIKEN, SC 29801-5120
(803) 257-0105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6901
SC
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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