Individual
MR. JOE WAYNE HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
2940 TRAWICK RD, UNIT 6, RALEIGH, NC 27604-4600
(919) 452-0738
(919) 329-9848
Mailing address
2940 TRAWICK RD, UNIT 6, RALEIGH, NC 27604-4600
(919) 452-0738
(919) 329-9848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
596
NC
101YM0800X
Mental Health Counselor
596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111839
—
NC
Enumeration date
03/20/2007
Last updated
11/06/2012
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