Individual
ERICH STEPHEN HAEZEBROUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Mailing address
41856 IVY ST STE 205, MURRIETA, CA 92562-8805
(951) 468-0265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
32789
CA
Other
Enumeration date
09/01/2011
Last updated
01/20/2022
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