Provider Demographics
NPI:1891025409
Name:HAWKINS, JANE M (PCC)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:M
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PICTORIA DR
Mailing Address - Street 2:320
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1615
Mailing Address - Country:US
Mailing Address - Phone:513-551-1500
Mailing Address - Fax:513-551-1489
Practice Address - Street 1:225 PICTORIA DR
Practice Address - Street 2:320
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1615
Practice Address - Country:US
Practice Address - Phone:513-551-1500
Practice Address - Fax:513-551-1489
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-2771101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional