Provider Demographics
NPI:1093943557
Name:ZAMORA, VANESSA DARLENE (MSW)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:DARLENE
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 E ORANGEWOOD AVE
Mailing Address - Street 2:#300
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-6141
Mailing Address - Country:US
Mailing Address - Phone:714-543-4333
Mailing Address - Fax:714-543-4398
Practice Address - Street 1:2390 E ORANGEWOOD AVE
Practice Address - Street 2:#300
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-6141
Practice Address - Country:US
Practice Address - Phone:714-955-6513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24778101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health