Individual provider · Type 1 NPI

Virginia Baker Hazen

Mental Health Counselor · Decatur, GA

NPI number 1235693292 Active

Practice location

308 Clairemont Avenue
Decatur, GA 30030-2506

Call (404) 308-8548 Map

Mailing address

308 Clairemont Ave
Decatur, GA 30030-2506

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPC006596 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1235693292

Virginia Baker Hazen's National Provider Identifier is 1235693292, issued on Jan 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, GA. The record was last updated on Jan 24, 2019.