Krystopher Lee Zavala
Counselor, Mental Health in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1962023804
StatusActive
Last updated in NPPESMay 1, 2020
Details
- NPI
- 1962023804
- Entity type
- Individual (NPI-1)
- Name
- Krystopher Lee Zavala
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2020
- Certification date
- May 1, 2020
- Last updated
- May 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1550 N Dutton AveSanta Rosa, CA 95401-4601
Phone 707-236-6696 · Fax 707-236-6695
Mailing address
1908 Amy AveSanta Rosa, CA 95401-4462
Phone 707-694-5312
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All 279 Mental Health Counselor providers in Santa Rosa · All 8,142 providers in Santa Rosa
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