Individual provider · Type 1 NPI
Kenneth M. Hazlewood, LMFT
Addiction (Substance Use Disorder) Counselor · Montague, CA
NPI number
1164555306
Active
Practice location
251 N 6th St
Montague, CA 96064-8025
Mailing address
PO Box 351
Montague, CA 96064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 83241 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1164555306
Kenneth M. Hazlewood, LMFT's National Provider Identifier is 1164555306, issued on Mar 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montague, CA. The record was last updated on Sep 21, 2020.