Provider Demographics
NPI:1538625470
Name:HAWKINS, JOCELYN SIMONE-DOOLEY (LPC)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:SIMONE-DOOLEY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 CENTERBROOKE LN STE F149
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8291
Mailing Address - Country:US
Mailing Address - Phone:757-453-5893
Mailing Address - Fax:757-664-9786
Practice Address - Street 1:1024 CENTERBROOKE LN STE F149
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8291
Practice Address - Country:US
Practice Address - Phone:757-453-5893
Practice Address - Fax:757-664-9786
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008143101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health