Czarina Victoria Azzam, LPC, PhD
Psychologist in Houston, TX. Individual provider (NPI-1).
NPI number1669916110
StatusActive
Last updated in NPPESSep 8, 2023
Details
- NPI
- 1669916110
- Entity type
- Individual (NPI-1)
- Name
- Czarina Victoria Azzam
- Credential
- LPC, PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2016
- Certification date
- Sep 8, 2023
- Last updated
- Sep 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 76606 | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
9401 Southwest FwyHouston, TX 77074-1407
Phone 713-970-7000
Mailing address
1950 Sunwest Ln San Bernardino Ca 92415San Bernardino, CA 92415-0001
Phone 832-881-8990
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