Individual
MARC AZOULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LAC
Contact information
Practice address
3050 BROADWAY ST, SUITE 300, BOULDER, CO 80304-3154
(301) 442-9119
Mailing address
3050 BROADWAY ST, SUITE 300, BOULDER, CO 80304-3154
(301) 442-9119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000611
CO
101YP2500X
Professional Counselor
LPCC.0014605
CO
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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