Individual
GARY RUSSELL HAZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1101 HARTMAN ST, MCKEESPORT, PA 15132-1500
(412) 673-5800
(412) 673-5805
Mailing address
12 S 14TH ST, APT 2, INDIANA, PA 15701-2535
(724) 422-0395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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