Individual
JASON HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
915 W GREEN ST, HASTINGS, MI 49058-1723
(269) 948-8041
(269) 948-9319
Mailing address
915 W GREEN ST, HASTINGS, MI 49058-1723
(269) 948-8041
(269) 948-9319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401012195
MI
101YM0800X
Mental Health Counselor
Primary
6401012195
MI
106H00000X
Marriage & Family Therapist
6401012195
MI
Other
Enumeration date
11/14/2011
Last updated
05/20/2013
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