Individual
MICHAEL HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
496 SHOUP AVE W, TWIN FALLS, ID 83301-5834
(208) 683-8320
(208) 969-8380
Mailing address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2961770
ID
101YP2500X
Professional Counselor
Primary
2961770
ID
Other
Enumeration date
04/01/2025
Last updated
01/08/2026
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