person
Mr. Michael B Hazeltine, MA,LPC
Professional Counselor in Tyler, Texas
NPI 1215413091

Michael B Hazeltine is a Professional Counselor based in Tyler, TX and is specialized in Professional. Michael B Hazeltine practices in Tyler, TX and has the professional credentials of MA,LPC. The NPI Number for Michael B Hazeltine is 1215413091 and holds a License No. (Texas).

The current practice location address for Michael B Hazeltine is 218 N College Ave, Tyler, TX and can be reached out via phone at 903-593-9141.

Location: 218 N College Ave, Tyler, TX, 75702-5715
person
Provider Profile Details
NPI Number
1215413091
Provider Name
Michael B Hazeltine
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
218 N College Ave, Tyler, TX, 75702-5715
Phone Number
903-593-9141
Fax Number
Provider Enumeration Date
07/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
218 N College Ave
City
State
Zip
75702-5715
Phone Number
903-593-9141
Fax Number
person
Provider Business Mailing Address Details
Address
218 N College Ave
City
State
Zip
75702-5715
Phone Number
903-593-9141
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
79720 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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