Jacob Adam Zavala
Licensed Psychiatric Technician in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1114554227
StatusActive
Last updated in NPPESMay 14, 2020
Details
- NPI
- 1114554227
- Entity type
- Individual (NPI-1)
- Name
- Jacob Adam Zavala
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- May 14, 2020
- Last updated
- May 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 41575 | CA | Yes |
Practice location
2945 McMillan Ave Ste 240San Luis Obispo, CA 93401-6771
Phone 805-439-4890
Mailing address
1153 Ash St Ste BArroyo Grande, CA 93420-3844
Phone 805-458-3659
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All 138 Licensed Psychiatric Technician providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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