Provider Demographics
NPI:1831988419
Name:HAZEL, JAMIE EVELYN (PRE-LICENSED CMHC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:EVELYN
Last Name:HAZEL
Suffix:
Gender:
Credentials:PRE-LICENSED CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 NORTH STATE STREET
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4362
Mailing Address - Country:US
Mailing Address - Phone:603-824-3555
Mailing Address - Fax:
Practice Address - Street 1:64 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4362
Practice Address - Country:US
Practice Address - Phone:603-824-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health