Provider Demographics
NPI:1417433426
Name:HAWTHORNE, JAMES (CDCA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:HAWTHORNE
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 VERNON PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2414
Mailing Address - Country:US
Mailing Address - Phone:513-281-7880
Mailing Address - Fax:513-281-7884
Practice Address - Street 1:2828 VERNON PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2414
Practice Address - Country:US
Practice Address - Phone:513-281-7880
Practice Address - Fax:513-281-7884
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.166847101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)