Provider Demographics
NPI:1790293959
Name:HAWKINS, JENNIFER ANN (SUDP, LMHCA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:SUDP, LMHCA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:MCKINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4509 N WHITEHOUSE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-1083
Mailing Address - Country:US
Mailing Address - Phone:208-889-8594
Mailing Address - Fax:
Practice Address - Street 1:4509 N WHITEHOUSE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-1083
Practice Address - Country:US
Practice Address - Phone:208-889-8594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61172943101YM0800X
WACP60829447101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)