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Individual

MR. MICHAEL DAVID AZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
401 N CAROLINE ST, BALTIMORE, MD 21287-0016
(410) 955-3599
Mailing address
401 N CAROLINE ST, BALTIMORE, MD 21287-0016
(410) 614-4387

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC13272
MD
101YM0800X
Mental Health Counselor
Primary
LC13272
MD
101YP2500X
Professional Counselor
LC13272
MD

Other

Enumeration date
06/07/2021
Last updated
09/01/2023
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