Doctor Name: | TRACY LYNN HAWKINSON |
NPI Number: | 1073724126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, L.C.P.C. |
License Number: | |
Business Practice Address: | 1642 W Colonial Pkwy Fl 2 Inverness, IL - 600674725 |
Business Phone Number: | 7738022636 |
Business Fax Number: | |
Mailing Address: | 108 Carol Ann Dr, STREAMWOOD |
State: | IL |
Postal Code: | 601076892 |
Phone Number: | 7738022636 |
Fax Number: | 8478558040 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |