Organization
JOE HAZEL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE WAYNE HAZEL LCAS/CCS (DIRECTOR)
(919) 272-5881
Entity
Organization
Contact information
Practice address
274A W DEPOT ST, ANGIER, NC 27501-8861
(919) 272-5881
(919) 329-9848
Mailing address
274A W DEPOT ST, P.O. BOX 1893, ANGIER, NC 27501-8861
(919) 272-5881
(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
—
6005582
—
NC
05
—
6111839
—
NC
Enumeration date
07/26/2007
Last updated
07/26/2007
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