Provider Demographics
NPI:1093850307
Name:ZAR, MARY B (CADCII)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:B
Last Name:ZAR
Suffix:
Gender:F
Credentials:CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2064
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92586-1064
Mailing Address - Country:US
Mailing Address - Phone:310-339-2687
Mailing Address - Fax:
Practice Address - Street 1:3768 10TH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3621
Practice Address - Country:US
Practice Address - Phone:951-276-3070
Practice Address - Fax:951-275-0527
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)