Provider Demographics
NPI:1629858865
Name:TEGENE, AZALECH N/A (MSW)
Entity Type:Individual
Prefix:
First Name:AZALECH
Middle Name:N/A
Last Name:TEGENE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 E ST SE # 14
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2593
Mailing Address - Country:US
Mailing Address - Phone:202-673-9120
Mailing Address - Fax:
Practice Address - Street 1:64 NEW YORK AVE NE FL 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3328
Practice Address - Country:US
Practice Address - Phone:202-673-9120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor