NPI | 1710079629 |
---|---|
Other Name | MICHELLE MARIE HAWBAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701009036) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-1992) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC CCS-13381) | |
101YM0800X Counselor Mental Health (Licence: NC S4898) | |
101YP2500X Counselor Professional (Licence: NC S4898) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-01-03 |