Provider Demographics
NPI:1851853212
Name:HAWKINS, KATHY (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:M
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1416 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-2833
Mailing Address - Country:US
Mailing Address - Phone:720-608-0174
Mailing Address - Fax:
Practice Address - Street 1:825 E SPEER BLVD STE 218
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3753
Practice Address - Country:US
Practice Address - Phone:720-608-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001004101YA0400X
COLPC.0014039101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)