Provider Demographics
NPI:1053659896
Name:ZAIL, CHRISTY MARIE (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:MARIE
Last Name:ZAIL
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 W MAIN ST
Mailing Address - Street 2:SUITE NUMBER 203
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-7720
Mailing Address - Country:US
Mailing Address - Phone:714-932-5600
Mailing Address - Fax:
Practice Address - Street 1:222 W MAIN ST
Practice Address - Street 2:SUITE NUMBER 203
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7720
Practice Address - Country:US
Practice Address - Phone:714-932-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC52415106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist