Doctor Name: | DON AZURE |
NPI Number: | 1053517383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | LC1129 |
Business Practice Address: | 4 Professional Dr Suite 120 Gaithersburg, MD - 208793407 |
Business Phone Number: | 3016023041 |
Business Fax Number: | 3017409990 |
Mailing Address: | 1 Walnutwood Ct, GERMANTOWN |
State: | MD |
Postal Code: | 208741031 |
Phone Number: | 3016023041 |
Fax Number: | 3017409990 |
NPI Enumeration Date: | 06/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC1129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |