Provider Demographics
NPI:1568769842
Name:ZUNIGA, ALICIA ESTRADA (LCSW)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:ESTRADA
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11556 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-1918
Mailing Address - Country:US
Mailing Address - Phone:562-639-7719
Mailing Address - Fax:
Practice Address - Street 1:11556 KEITH DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-1918
Practice Address - Country:US
Practice Address - Phone:562-639-7719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical