Individual
DENISE N HAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1121 E SOUTHEAST LOOP 323 STE 103, TYLER, TX 75701-9660
(903) 483-5272
Mailing address
1121 E SOUTHEAST LOOP 323 STE 103, TYLER, TX 75701-9660
(903) 483-5272
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
83733
TX
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/10/2020
Last updated
03/03/2023
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