Individual
CHRIS HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
136 E SAN ANTONIO ST # 103, SAN MARCOS, TX 78666-5509
(512) 620-1401
Mailing address
PO BOX 1707, KYLE, TX 78640-1707
(208) 947-3382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
78045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3789273
—
TX
Enumeration date
09/28/2015
Last updated
04/15/2021
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