Individual provider · Type 1 NPI
Mary Shannon Hazen, LCSW
Mental Health Counselor · Newalla, OK
NPI number
1043953797
Active
Practice location
5021 Red Hill Rd
Newalla, OK 74857-8834
Other practice locations
- 14625 NE 23rd St, Choctaw, OK 73020-8728 · (405) 390-8131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 21587 (OK) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Newalla
About NPI 1043953797
Mary Shannon Hazen, LCSW's National Provider Identifier is 1043953797, issued on Apr 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newalla, OK. The record was last updated on Aug 19, 2025.