Individual
MR. MARION PATRICK HAZELTON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
PATHWAYS RED RIVER TREATMENT CENTER, 242 WEST SHAMROCK AVE UNIT 6 MELODY LANE, PINEVILLE, LA 71360
(318) 441-5900
Mailing address
5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
(318) 443-8547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7155
LA
Other
Enumeration date
08/30/2017
Last updated
11/10/2021
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