Individual provider · Type 1 NPI
Marion Patrick Hazelton I, LPC
Professional Counselor · Pineville, LA
NPI number
1508384587
Active
Practice location
Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane
Pineville, LA 71360
Mailing address
5920 Coliseum Blvd
Alexandria, LA 71303-3714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7155 (LA) |
Professional Counselor: Definition to come...
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About NPI 1508384587
Marion Patrick Hazelton I, LPC's National Provider Identifier is 1508384587, issued on Aug 30, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pineville, LA. The record was last updated on Nov 10, 2021.