John Hazle JR., MDIV, MA, LPC-S
NPI #1720744360 in Boys Ranch, Texas
Provider Information
- NPI Number
- 1720744360
- Entity Type
- Individual
- Name
- John Hazle JR., MDIV, MA, LPC-S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MDIV, MA, LPC-S
- Enumeration Date
- Nov 9, 2021
- Last Updated
- Nov 9, 2021
Practice Location
- Address
- 76 RODEO ROAD
- City
- Boys Ranch
- State
- Texas
- ZIP Code
- 79010
- Phone
- (806) 680-3445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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