Individual
CZARINA VICTORIA AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PHD
Contact information
Practice address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
Mailing address
1950 SUNWEST LN SAN BERNARDINO CA 92415, SAN BERNARDINO, CA 92415-0001
(832) 881-8990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
76606
—
Other
Enumeration date
12/16/2016
Last updated
09/08/2023
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