Individual provider · Type 1 NPI

Michael B. Hazeltine, M.A., LPC

Professional Counselor · Tyler, TX

NPI number 1215413091 Active

Practice location

218 N College Ave
Tyler, TX 75702-5715

Call (903) 593-9141 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X79720 (TX)

Professional Counselor: Definition to come...

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About NPI 1215413091

Michael B. Hazeltine, M.A., LPC's National Provider Identifier is 1215413091, issued on Jul 16, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Dec 8, 2020.