Individual provider · Type 1 NPI
Lena Azzam
Counselor · Wayne, MI
NPI number
1083257067
Active
Practice location
34841 Veterans Plz
Wayne, MI 48184-1733
Fax (313) 292-9270
Other practice locations
- 6450 Maple St, Dearborn, MI 48126-2259 · (313) 216-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6401017730 (MI) |
| Counselor Primary | 101Y00000X | 6401222304 (MI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1083257067
Lena Azzam's National Provider Identifier is 1083257067, issued on Oct 23, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wayne, MI. The record was last updated on Aug 5, 2022.