Provider Demographics
NPI:1285227207
Name:ZALVIN, ALLELIA KOEHLER CESA
Entity Type:Individual
Prefix:MRS
First Name:ALLELIA
Middle Name:KOEHLER CESA
Last Name:ZALVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LIA
Other - Middle Name:
Other - Last Name:ZALVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1266 CROSS WATER CIR
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-1519
Mailing Address - Country:US
Mailing Address - Phone:973-917-9161
Mailing Address - Fax:
Practice Address - Street 1:1266 CROSS WATER CIR
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-1519
Practice Address - Country:US
Practice Address - Phone:973-917-9161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12292A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist