Individual
TINA HAZLEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4646 POPLAR AVE STE 411, MEMPHIS, TN 38117-4434
(901) 517-1164
(901) 284-0570
Mailing address
4646 POPLAR AVE STE 411, MEMPHIS, TN 38117-4434
(901) 517-1164
(901) 284-0570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/13/2010
Last updated
10/05/2022
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