Doctor Name: | MS. HAZEL LEIGH MCRAE |
NPI Number: | 1679582902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 12963 |
Business Practice Address: | 1403 Live Oak Rd Leander, TX - 786418420 |
Business Phone Number: | 7135150069 |
Business Fax Number: | 9798301693 |
Mailing Address: | 2005 Carriage Hills Cv, CEDAR PARK |
State: | TX |
Postal Code: | 786136816 |
Phone Number: | 7135150069 |
Fax Number: | 9798301693 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 12963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |