Doctor Name: | JESSICA LYNN HAWLEY |
NPI Number: | 1205120532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ASW |
License Number: | |
Business Practice Address: | 1860 Walnut St Suite A Red Bluff, CA - 960803611 |
Business Phone Number: | 5305275631 |
Business Fax Number: | 5305270232 |
Mailing Address: | Po Box 400, RED BLUFF |
State: | CA |
Postal Code: | 960800400 |
Phone Number: | 5305275631 |
Fax Number: | 5305270232 |
NPI Enumeration Date: | 06/03/2011 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |