Kenneth M. Hazlewood in Montague - Addiction (substance Use Disorder)

Kenneth M. Hazlewood - NPI 1164555306

Kenneth M. Hazlewood is a Addiction (substance Use Disorder) in Montague, California. Kenneth M. Hazlewood practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kenneth M. Hazlewood is 1164555306. The last update date is 2020-09-21.

Kenneth M. Hazlewood's current location address is Po Box 351, Montague, California. You can contact this provider via phone number 8183847103. The mailing address for Kenneth M. Hazlewood is Po Box 351, Montague, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth M. Hazlewood
Address Po Box 351, Montague, California
Phone Number 8183847103
Fax Number
Sole Proprietor Y
Credentials LMFT

NPI Number Detail

NPI Number 1164555306
Provider Enumeration Date 2007-03-14
Last Updated Date 2020-09-21

Provider Mailing Address Detail

Address Po Box 351
City Montague
State California (CA)
Post Code 96064
Phone Number 8183847103
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kenneth M. Hazlewood

What is the unique 10-digit identifier code assigned to Kenneth M. Hazlewood by the Centers for Medicare & Medicaid Services?

The Kenneth M. Hazlewood has been issued the NPI (National Provider Identifier) 1164555306 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kenneth M. Hazlewood's facilities are geographically located?

The facilities of Kenneth M. Hazlewood are physically situated at the following location: Po Box 351, Montague, CA, 96064.

What is Kenneth M. Hazlewood's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kenneth M. Hazlewood is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1164555306 to Kenneth M. Hazlewood?

The Kenneth M. Hazlewood received its 1164555306 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.

As of what date was the information pertaining to Kenneth M. Hazlewood, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth M. Hazlewood, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-09-21.

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