Individual
MR. THOMAS W HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4400
Mailing address
1175 E 100 N, SUITE 206, PAYSON, UT 84651-1665
(801) 592-4040
(801) 423-3154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
139747-6004
UT
Other
Enumeration date
11/10/2006
Last updated
05/29/2024
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