Provider Demographics
NPI:1518100874
Name:HAWKINS, MARCY (CADC-II, ICADC, CCGC)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:CADC-II, ICADC, CCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5217
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-0417
Mailing Address - Country:US
Mailing Address - Phone:925-426-0501
Mailing Address - Fax:925-426-0506
Practice Address - Street 1:440 BOULDER CT
Practice Address - Street 2:SUITE 100-B
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-8314
Practice Address - Country:US
Practice Address - Phone:925-426-0501
Practice Address - Fax:925-426-0506
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA3813198101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)