Provider Demographics
NPI:1407215999
Name:HAWES, CHRISTIAN L (ACMCH)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:L
Last Name:HAWES
Suffix:
Gender:M
Credentials:ACMCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 E FOREMASTER DR STE 340
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4506
Mailing Address - Country:US
Mailing Address - Phone:435-216-9290
Mailing Address - Fax:
Practice Address - Street 1:1490 E FOREMASTER DR STE 340
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4506
Practice Address - Country:US
Practice Address - Phone:435-216-9290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11219889-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health