Michael Hawkins, CSAC, NCAC II

NPI 1114377603 · on the registry since 2016 · sole proprietor

Practice

Address: 3516 Plank Rd
6c
Fredericksburg, VA 22407
Phone: (703) 975-2315
Fax: (540) 412-0223
Organisation at this address: Life Source Counseling Center, Inc
Lily Rose Residential Services-Dc Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia