Individual
BENJAMIN HINDLE HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
7811 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3526
(267) 625-2552
Mailing address
1635 CATHARINE ST, PHILADELPHIA, PA 19146-2036
(267) 979-5930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010952
PA
Other
Enumeration date
09/11/2019
Last updated
09/18/2019
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