MRS. Jennie Patricia Hazen, L.C.P.C.

NPI #1033209796 in Meridian, Idaho

Provider Information

NPI Number
1033209796
Entity Type
Individual
Name
MRS. Jennie Patricia Hazen, L.C.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
L.C.P.C.
Enumeration Date
Oct 13, 2006
Last Updated
Jul 20, 2025

Practice Location

Address
3006 E GOLDSTONE DR
State
Idaho
ZIP Code
83642-1549
Phone
(208) 515-7661

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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