Provider Demographics
NPI:1851814339
Name:HAWKINS, KEMUEL SEAN (LMHC)
Entity Type:Individual
Prefix:
First Name:KEMUEL
Middle Name:SEAN
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7318 HEMLOCK AVE
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46403-2153
Mailing Address - Country:US
Mailing Address - Phone:773-466-4240
Mailing Address - Fax:
Practice Address - Street 1:7318 HEMLOCK AVE
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46403-2153
Practice Address - Country:US
Practice Address - Phone:773-466-4240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2017-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003051A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health