Individual
MICHAEL TRAVIS HAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
9250 COLUMBIA AVE, MUNSTER, IN 46321-3538
(219) 595-0043
Mailing address
9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321-3530
(219) 595-0043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004935A
IN
Other
Enumeration date
05/04/2023
Last updated
05/17/2024
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