Provider Demographics
NPI:1275919748
Name:CARDENAS ZAMORA, NOELI ESMERALDA (MA)
Entity Type:Individual
Prefix:
First Name:NOELI
Middle Name:ESMERALDA
Last Name:CARDENAS ZAMORA
Suffix:
Gender:F
Credentials:MA
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 2613
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-0261
Mailing Address - Country:US
Mailing Address - Phone:707-592-5707
Mailing Address - Fax:
Practice Address - Street 1:231 WALNUT ST APT 14
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3754
Practice Address - Country:US
Practice Address - Phone:707-592-5707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112118106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist