Mr Kenneth M Hazlewood, LMFT is a
Counselor - Addiction (substance Use Disorder) based in Montague, California. Mr Kenneth M Hazlewood is licensed to practice in * (Not Available) (license number ) and his current practice location is
251 N 6th St, Montague, California. He can be reached at his office (for appointments etc.) via phone at
(818) 384-7103.
NPI number for Mr Kenneth M Hazlewood is 1164555306 and his current mailing address is Po Box 351, Montague, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164555306.
Healthcare Provider's Profile
| Full Name | Mr Kenneth M Hazlewood |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 251 N 6th St, Montague, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164555306
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 09/21/2020
Medical Identifiers
Medical identifiers for Mr Kenneth M Hazlewood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164555306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 83241 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth M Hazlewood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kenneth M Hazlewood, LMFT
Po Box 351,
Montague, CA 96064
Ph: (818) 384-7103 | Mr Kenneth M Hazlewood, LMFT
251 N 6th St,
Montague, CA 96064-8025
Ph: (818) 384-7103 |
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