Individual provider · Type 1 NPI
John Hazle Jr., MDIV, MA, LPC-S
Professional Counselor · Boys Ranch, TX
NPI number
1720744360
Active
Practice location
76 Rodeo Road
Boys Ranch, TX 79010
Mailing address
PO Box 48
Boys Ranch, TX 79010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 65887 (TX) |
Professional Counselor: Definition to come...
About NPI 1720744360
John Hazle Jr., MDIV, MA, LPC-S's National Provider Identifier is 1720744360, issued on Nov 9, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boys Ranch, TX. The record was last updated on Nov 9, 2021.