Provider Demographics
NPI:1629835186
Name:HAWKINS, LEANNE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:MARIE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:MARIE
Other - Last Name:KASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CASE MANAGER
Mailing Address - Street 1:1810 N SIOUX AVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3134
Mailing Address - Country:US
Mailing Address - Phone:918-341-7977
Mailing Address - Fax:918-936-2238
Practice Address - Street 1:1810 N SIOUX AVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3134
Practice Address - Country:US
Practice Address - Phone:918-341-7580
Practice Address - Fax:918-936-2238
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC03250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health