| Heni Azzam, | |
|
69 Arrowhead Loop, Canadian, OK 74425-5012 | |
| (935) 995-1697 | |
| Not Available |
| Full Name | Heni Azzam |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 69 Arrowhead Loop, Canadian, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316661408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heni Azzam, 69 Arrowhead Loop, Canadian, OK 74425-5012 Ph: (935) 995-1697 | Heni Azzam, 69 Arrowhead Loop, Canadian, OK 74425-5012 Ph: (935) 995-1697 |
Mr. Victor R Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 67 Box 5, Canadian, OK 74425 Phone: 918-339-5800 | |
Morgan Pinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Gaines Creek Rd, Canadian, OK 74425 Phone: 918-424-7473 | |
Crystal Lamb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 69 Arrowhead Loop, Canadian, OK 74425 Phone: 918-339-5800 | |
Daniel Michael Nixon I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 69 Arrowhead Loop, Canadian, OK 74425 Phone: 562-844-0174 | |
Mandy Jerome, Counselor Medicare: Not Enrolled in Medicare Practice Location: 69 Arrowhead Loop, Canadian, OK 74425 Phone: 918-339-5800 Fax: 918-339-5833 | |
Mrs. Vicki Mae Flucard Smith, LADC, CBHCM Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 67 Box 5, Canadian, OK 74425 Phone: 918-339-5800 |