Provider Demographics
NPI:1659767077
Name:ZARAGOZA, CHARINA (LMHC)
Entity Type:Individual
Prefix:
First Name:CHARINA
Middle Name:
Last Name:ZARAGOZA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14134 79TH AVE
Mailing Address - Street 2:2B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3659
Mailing Address - Country:US
Mailing Address - Phone:917-582-9425
Mailing Address - Fax:
Practice Address - Street 1:14134 79TH AVE
Practice Address - Street 2:2B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3659
Practice Address - Country:US
Practice Address - Phone:917-582-9425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health