Vivian Hazell, LPC
Counselor in Menasha, WI. Individual provider (NPI-1).
NPI number1275864837
StatusActive
Last updated in NPPESJan 21, 2010
Details
- NPI
- 1275864837
- Entity type
- Individual (NPI-1)
- Name
- Vivian Hazell
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2010
- Last updated
- Jan 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 3038-125 | WI | Yes |
Practice location
1800 Appleton RdMenasha, WI 54952-3727
Phone 920-579-0781 · Fax 920-795-4183
Mailing address
1800 Appleton RdMenasha, WI 54952-3727
Phone 920-579-0781 · Fax 920-795-4183
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