Hawthorne, Addison

Hawthorne, Addison is an individual health care provider with primary practice located at 2008 N Garey Ave , Pomona CA 91767-2722. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hawthorne, Addison can be contacted via phone (909) 623-6131.

Contact Information

Primary practice address
2008 N Garey Ave Pomona CA 91767-2722
Phone: (909) 623-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 106799 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003946435
LBN Legal business name Hawthorne, Addison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Apr 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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