Individual
DONNA JEAN HAZLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7525 SE LAKE RD, MILWAUKIE, OR 97267-2115
(503) 303-4000
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2005
Last updated
10/20/2014
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