CZARINA VICTORIA AZZAM (NPI# 1669916110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669916110 |
| Entity Type | Individual |
| Full Name | CZARINA VICTORIA AZZAM |
| Credential | LPC |
| Practice Address |
1950 Sunwest Ln San Bernardino Ca 92415 San Bernardino CA 92415-6207 |
| Mailing Address |
1950 Sunwest Ln San Bernardino Ca 92415 San Bernardino CA 92415-0001 |
| Practice Telephone | 9092524010 |
| Mailing Telephone | 8328818990 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1950 SUNWEST LN SAN BERNARDINO CA 92415 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427566207 | Ai Nhi Cong Brownbridge | Counselor | 658 E Brier Dr Ste 200, San Bernardino, CA 92408-2847 | 2018-01-16 |
| 1508388976 | Nancy Jean Shaw-fike | Counselor | 141 North Arrowhead Ave, San Bernardino, CA 92408 | 2017-07-07 |
| 1770034779 | Norma Ramos | Counselor | 255 N D St Ste 412, San Bernardino, CA 92401-1715 | 2016-10-14 |
| 1659749307 | Brenda Flores-greenan | Counselor | 284 S Allen St, San Bernardino, CA 92408-1525 | 2015-09-11 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1952664021 | Mosley Counseling Center, LLC | Counselor | 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 | 2012-06-22 |
| 1700177987 | Cassandra M Jimenez | Counselor | 2065 W College Ave Apt 2036, San Bernardino, CA 92407-4653 | 2011-04-22 |
| 1275761744 | David Ayala | Counselor | 524 N Mountain View Ave, San Bernardino, CA 92401-1208 | 2009-06-23 |
| 1760631535 | Concepcion E Chavez | Counselor | 393 N D St, San Bernardino, CA 92418-0001 | 2008-09-16 |
| 1164609418 | Anthony Mozell Jones | Counselor | 1265 Oakwood Dr, San Bernardino, CA 92405-1936 | 2008-01-29 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
Please comment or provide details below to improve the information on CZARINA VICTORIA AZZAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.