| Doctor Name: | MRS. MARY DELAYNE HAWKINS |
| NPI Number: | 1659520773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRC, LPC |
| License Number: | 0701004420 |
| Business Practice Address: | 32370 Lankford Highway Painter, VA - 23420 |
| Business Phone Number: | 7574424590 |
| Business Fax Number: | 7574424593 |
| Mailing Address: | Po Box 1303, EXMORE |
| State: | VA |
| Postal Code: | 233501303 |
| Phone Number: | 7574424590 |
| Fax Number: | 7574424593 |
| NPI Enumeration Date: | 09/12/2008 |
| NPI Last Update Date: | 09/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701004420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |