Individual provider · Type 1 NPI

Kevin Austin Hanzlik

Mental Health Counselor · Tigard, OR

NPI number 1114350337 Active

Practice location

10313 SW 69th Ave
Tigard, OR 97223-9103

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1114350337

Kevin Austin Hanzlik's National Provider Identifier is 1114350337, issued on Aug 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Aug 12, 2013.