Vivian Hazell, LPC

NPI #1275864837 in Menasha, Wisconsin

Provider Information

NPI Number
1275864837
Entity Type
Individual
Name
Vivian Hazell, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Jan 21, 2010
Last Updated
Jan 21, 2010

Practice Location

Address
1800 APPLETON RD
ZIP Code
54952-3727
Phone
(920) 579-0781

Specialties & Taxonomy Codes

Specialty
Counselor

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