Provider Demographics
NPI:1700038411
Name:ZAVALA, MONICA M (LMFT, QMHP)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:M
Last Name:ZAVALA
Suffix:
Gender:F
Credentials:LMFT, QMHP
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:M
Other - Last Name:ZAVALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT, QMHP
Mailing Address - Street 1:226 W OJAI AVE STE 101-180
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3277
Mailing Address - Country:US
Mailing Address - Phone:805-707-4625
Mailing Address - Fax:805-232-3224
Practice Address - Street 1:226 W OJAI AVE STE 101-180
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3277
Practice Address - Country:US
Practice Address - Phone:805-707-4625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1115106H00000X
CA86616106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist