| Doctor Name: | MRS. CHRISTIE LEE AZZAM |
| NPI Number: | 1003956608 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLP, LLPC |
| License Number: | 6401006825 |
| Business Practice Address: | 7457 Franklin Rd Suite 303 Bloomfield Hills, MI - 483013611 |
| Business Phone Number: | 2487615810 |
| Business Fax Number: | |
| Mailing Address: | 7518 Acorn Hill Ct, WEST BLOOMFIELD |
| State: | MI |
| Postal Code: | 483234016 |
| Phone Number: | 2487615810 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6401006825 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |