MEDICARE: MRS. MARIA A HAWKINS MS

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841530284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA A HAWKINS MS

Provider Business Mailing Address
First Line	:	1002 VERONA ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-5453
Country	:	US
Telephone Number	:	407-460-0418
Fax Number	:

Provider Business Practice Location Address
First Line	:	1002 VERONA ST
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-5453
Country	:	US
Telephone Number	:	407-460-0418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	02/21/2013

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