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NPI Code Detail

MEDICARE: CORDERO RAYMON HAWKINS

MEDICARE: CORDERO RAYMON HAWKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1831842772
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORDERO RAYMON HAWKINS
Provider Business Mailing Address
First Line : 7200 CYPRESS LAKES APARTMENT BLVD APT 1012
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-5312
Country : US
Telephone Number : 225-205-0724
Fax Number :
Provider Business Practice Location Address
First Line : 7200 CYPRESS LAKES APARTMENT BLVD APT 1012
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-5312
Country : US
Telephone Number : 225-205-0724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

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Directions to “ CORDERO RAYMON HAWKINS ” Practice Location

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