| Doctor Name: | MR. WILLIAM BURTON HAZEL |
| NPI Number: | 1326376104 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW,LADC,CCDP-D |
| License Number: | 000589 |
| Business Practice Address: | Co 121 Csh, Box 531 Seoul, KOREA - 96205 |
| Business Phone Number: | 01085784948 |
| Business Fax Number: | |
| Mailing Address: | 1961 Broadbridge Ave, STRATFORD |
| State: | CT |
| Postal Code: | 066144709 |
| Phone Number: | 2033771562 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2009 |
| NPI Last Update Date: | 12/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000589 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |