Provider Demographics
NPI:1639298334
Name:HAWKINS, LINDA MIKONIS (MFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MIKONIS
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MIKI
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3521
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-3521
Mailing Address - Country:US
Mailing Address - Phone:530-300-4059
Mailing Address - Fax:530-674-4714
Practice Address - Street 1:1110 CIVIC CENTER BLVD STE 204B
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-3016
Practice Address - Country:US
Practice Address - Phone:530-300-4059
Practice Address - Fax:530-466-3051
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT40691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist