| Camille Hawkins, Llc | |
|
12587 S Fort St Draper UT 84020-9382 | |
| (801) 203-0244 | |
| Not Available |
| Full Name | Camille Hawkins, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12587 S Fort St, Draper, Utah |
| Authorized Official Name and Position | Camille Hawkins (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8012030244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Hawkins, Llc 418 E 8800 S Sandy UT 84070-1760 Ph: (801) 203-0244 | Camille Hawkins, Llc 12587 S Fort St Draper UT 84020-9382 Ph: (801) 203-0244 |
| NPI Number | 1770215485 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770215485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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