Individual provider · Type 1 NPI

Jennie Patricia Hazen, L.C.P.C.

Professional Counselor · Meridian, ID

NPI number 1033209796 Active

Practice location

3006 E Goldstone Dr
Meridian, ID 83642-1549

Call (208) 515-7661 Map

Fax (208) 908-6164

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLCPC-5665 (ID)
Professional Counselor Primary 101YP2500XLPC-3644 (ID)

Professional Counselor: Definition to come...

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About NPI 1033209796

Jennie Patricia Hazen, L.C.P.C.'s National Provider Identifier is 1033209796, issued on Oct 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Jul 20, 2025.