Provider Demographics
NPI:1093840753
Name:REYES, ZOE B (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:B
Last Name:REYES
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MRS
Other - First Name:ZOEISE
Other - Middle Name:B
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:4311 65TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-3321
Mailing Address - Country:US
Mailing Address - Phone:916-642-9343
Mailing Address - Fax:
Practice Address - Street 1:910 FLORIN RD STE 209E
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-3568
Practice Address - Country:US
Practice Address - Phone:916-642-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC51311106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist