Individual
RAY EDWARD HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
701 S 27TH ST, BILLINGS, MT 59101-4511
(406) 247-5100
Mailing address
1226 COTTONWOOD BLVD UNIT 19, BILLINGS, MT 59105-2661
(719) 351-8940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7046
CO
101YP2500X
Professional Counselor
Primary
5529
CO
101YP2500X
Professional Counselor
C4355
OR
Other
Enumeration date
09/13/2016
Last updated
01/29/2017
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