Provider Demographics
NPI:1013226059
Name:ZAHIRI, ADRIAN JUSTINE (CADC)
Entity Type:Individual
Prefix:MS
First Name:ADRIAN
Middle Name:JUSTINE
Last Name:ZAHIRI
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:MS
Other - First Name:ADRIAN
Other - Middle Name:JUSTINE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADC
Mailing Address - Street 1:1905 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2334
Mailing Address - Country:US
Mailing Address - Phone:714-479-0120
Mailing Address - Fax:714-479-0153
Practice Address - Street 1:1905 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2334
Practice Address - Country:US
Practice Address - Phone:714-479-0120
Practice Address - Fax:714-479-0153
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3930110101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)