Individual
STUART LYLE AZOULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, CAP
Contact information
Practice address
1510 SW 4TH AVE, POMPANO BEACH, FL 33060-9002
(954) 822-0444
Mailing address
1510 SW 4TH AVE, POMPANO BEACH, FL 33060-9002
(954) 822-0444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADC-003944-2014
FL
106H00000X
Marriage & Family Therapist
Primary
MT3179
FL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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