Individual
JILLIAN HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
750 SHAKER DR, #322, LEXINGTON, KY 40504-3745
(859) 412-0431
Mailing address
750 SHAKER DR, #322, LEXINGTON, KY 40504-3745
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2012-023
KY
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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