Individual provider · Type 1 NPI
Marc Azoulay, MA, LPCC, LAC
Addiction (Substance Use Disorder) Counselor · Boulder, CO
NPI number
1851740625
Active
Practice location
3050 Broadway St, Suite 300
Boulder, CO 80304-3154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ACD.0000611 (CO) |
| Professional Counselor | 101YP2500X | LPCC.0014605 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1851740625
Marc Azoulay, MA, LPCC, LAC's National Provider Identifier is 1851740625, issued on Jun 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boulder, CO. The record was last updated on Jun 12, 2016.