Individual
MS. TARA SUZETTE HAZZARD-PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 MEDICAL DR, HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD, HAMPTON, VA 23666-6079
(757) 788-0500
(757) 788-0928
Mailing address
300 MEDICAL DR, HAMPTON, VA 23666-1765
(757) 788-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427205151
NPI
—
05
—
49-45573
—
VA
Enumeration date
08/25/2008
Last updated
09/09/2008
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