Doctor Name: | KEVIN JAMES HAWES |
NPI Number: | 1326495870 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PC-CR |
License Number: | C.1100428 |
Business Practice Address: | 2383 Saybrook Rd University Heights, OH - 441183759 |
Business Phone Number: | 3306511049 |
Business Fax Number: | |
Mailing Address: | 2383 Saybrook Rd, UNIVERSITY HEIGHTS |
State: | OH |
Postal Code: | 441183759 |
Phone Number: | 3306511049 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2016 |
NPI Last Update Date: | 05/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C.1100428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |