Provider Demographics
NPI:1699004317
Name:OELERICH, ZACHARY OLIVER (LMFT)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:OLIVER
Last Name:OELERICH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 SAN RAMON VALLEY BLVD.
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-743-1370
Mailing Address - Fax:925-743-1937
Practice Address - Street 1:2333 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1763
Practice Address - Country:US
Practice Address - Phone:925-743-1370
Practice Address - Fax:925-743-1937
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42550106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist