Individual provider · Type 1 NPI

Thomas W. Hazen, CMHC

Mental Health Counselor · Provo, UT

NPI number 1083785240 Active

Practice location

1300 E Center St
Provo, UT 84606-3554

Mailing address

1175 E 100 N, Suite 206
Payson, UT 84651-1665

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X139747-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1083785240

Thomas W. Hazen, CMHC's National Provider Identifier is 1083785240, issued on Nov 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provo, UT. The record was last updated on May 29, 2024.