HENI AZZAM

CANADIAN, OK
NPI1316661408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
HENI AZZAM
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 935-995-1697
Mailing Address
HENI AZZAM
69 ARROWHEAD LOOP
CANADIAN, OK 74425-5012
Phone number: 935-995-1697