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Elena 'elle' Hazlewood, SUDPT
Counselor in Longview, Washington
NPI 1982384624

Elena 'elle' Hazlewood is a Counselor based in Longview, WA. Elena 'elle' Hazlewood practices in Longview, WA and has the professional credentials of SUDPT. The NPI Number for Elena 'elle' Hazlewood is 1982384624 and holds a License No. 61419838 (Washington).

The current practice location address for Elena 'elle' Hazlewood is 910 16Th Ave Ste 120, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 910 16Th Ave Ste 120, Longview, WA, 98632-8455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982384624
Provider Name
Elena 'elle' Hazlewood
Credential
SUDPT
Provider Entity Type
Individual
Gender
Female
Address
910 16Th Ave Ste 120, Longview, WA, 98632-8455
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
910 16Th Ave Ste 120
City
Longview
State
Washington
Zip
98632-2374
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
910 16Th Ave Ste 120
City
Longview
State
Washington
Zip
98632-2374
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
61419838 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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