Individual
MRS. JENNIE PATRICIA HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 515-7661
(208) 908-6164
Mailing address
3006 E GOLDSTONE DR, MERIDIAN, ID 83642-1549
(208) 515-7661
(208) 908-6164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCPC-5665
ID
101YP2500X
Professional Counselor
Primary
LPC-3644
ID
Other
Enumeration date
10/13/2006
Last updated
07/20/2025
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