MR. Kenneth M. Hazlewood, LMFT

NPI #1164555306 in Montague, California

Provider Information

NPI Number: 1164555306
Entity Type: Individual
Name: MR. Kenneth M. Hazlewood, LMFT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LMFT
Enumeration Date: Mar 14, 2007
Last Updated: Sep 21, 2020

Practice Location

Address: 251 N 6TH ST
City: Montague
State: California
ZIP Code: 96064-8025
Phone: (818) 384-7103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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