Provider Demographics
NPI:1154503100
Name:ZAVALA, TRINIDAD M (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:TRINIDAD
Middle Name:M
Last Name:ZAVALA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 E OLIVERA RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2028
Mailing Address - Country:US
Mailing Address - Phone:510-612-1121
Mailing Address - Fax:
Practice Address - Street 1:1868 CLAYTON RD STE 220
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2503
Practice Address - Country:US
Practice Address - Phone:510-612-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-01
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT86521106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist