Individual provider · Type 1 NPI

Leslie E. Hazelwood, L.P.C., L.C.P.C.

Professional Counselor · St. Louis, MO

NPI number 1053359596 Active

Practice location

4561 S Compton Ave
St. Louis, MO 63111-1554

Call (314) 352-1770 Map

Mailing address

501 Nicolet Dr
Godfrey, IL 62035-1937

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2006012565 (MO)
Professional Counselor 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1053359596

Leslie E. Hazelwood, L.P.C., L.C.P.C.'s National Provider Identifier is 1053359596, issued on Jun 4, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.