Individual
MR. NEIL TRAVIS HETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
18843 W LAUREL LN, SURPRISE, AZ 85388-3258
(623) 466-3482
Mailing address
18843 W LAUREL LN, SURPRISE, AZ 85388-3258
(623) 466-3482
(480) 963-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-14358
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-17620
AZ
Other
Enumeration date
04/14/2014
Last updated
05/24/2021
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