Provider Demographics
NPI:1376575605
Name:ZOLOW, ANGELA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:ZOLOW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 P ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6149
Mailing Address - Country:US
Mailing Address - Phone:916-541-4860
Mailing Address - Fax:916-875-1190
Practice Address - Street 1:4875 BROADWAY
Practice Address - Street 2:SUITE 125
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-1500
Practice Address - Country:US
Practice Address - Phone:916-874-3663
Practice Address - Fax:916-875-1190
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist