Individual
MRS. KATHLEEN ANNE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
853 STATE ROAD 436 STE 2001, CASSELBERRY, FL 32707-5479
(407) 986-0982
Mailing address
811 ARLINGTON BLVD, ALTAMONTE SPRINGS, FL 32701-6203
(407) 616-7176
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT3913
LICENSE NUMBER
FL
Enumeration date
06/13/2022
Last updated
11/13/2023
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