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General NPI Number Information
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NPI Number | 1538492020
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Entity Type | Individual
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Provider Name | PATRICIA KATELYN HAWK LPCC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 730 HARRIS ST
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City | EUREKA
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State | CA
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Zip | 95503-4414
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Country | US
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Telephone | 720-363-9260
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Fax | 707-441-4679
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Provider Business Mailing Address
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Address Line | 720 WOOD ST
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City | EUREKA
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State | CA
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Zip | 95501-4413
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Country | US
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Telephone | 707-268-2900
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Fax | 707-476-4070
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3000
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License Number State | CA
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