Provider Demographics
NPI:1275746430
Name:ZUNG, HELEN CHARLOTTE (LMFC)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:CHARLOTTE
Last Name:ZUNG
Suffix:
Gender:F
Credentials:LMFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 CENTRAL AVE
Mailing Address - Street 2:APT. B
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-2552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1732 CENTRAL AVE
Practice Address - Street 2:APT. B
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-2552
Practice Address - Country:US
Practice Address - Phone:510-769-1250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28226106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist