Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH M. HAZLEWOOD, LMFT
Active Sole ProprietorMR. KENNETH M. HAZLEWOOD, LMFT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MONTAGUE, California. NPI 1164555306 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MONTAGUE, CA
Registration Details
- NPI Number
- 1164555306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2007 (19.440674189955 yrs)
- Last Updated
- Sep 21, 2020
- License
-
83241 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
251 N 6TH STMONTAGUE, CA, 960648025Browse CA providers · Browse ZIP 96064
- Phone
- 8183847103
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.