Individual provider · Type 1 NPI

Erin Kim Hazen

Student in an Organized Health Care Education/Training Program · Concord, CA

NPI number 1255013066 Active

Practice location

2425 Bisso Ln Ste 200
Concord, CA 94520-4886

Mailing address

420 Brewster Ave
Redwood City, CA 94063-1709

Other practice locations

  • 420 Brewster Ave, Redwood City, CA 94063-1709 · (650) 366-8436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255013066

Erin Kim Hazen's National Provider Identifier is 1255013066, issued on Aug 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Concord, CA. The record was last updated on Jun 26, 2024.