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NPI Code Detail

MEDICARE: JULIE HAZEL LPC

MEDICARE: JULIE HAZEL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.1801330OH

General Provider Information

NPI Number : 1821649328
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE HAZEL LPC
Provider Business Mailing Address
First Line : 101 FITZ HENRY BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1611
Country : US
Telephone Number : 330-844-7988
Fax Number :
Provider Business Practice Location Address
First Line : 5354 N HIGH ST STE 206
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1274
Country : US
Telephone Number : 614-948-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 10/17/2019

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