Provider Demographics
NPI:1740796481
Name:ZEVIAR-VEGA, LOESHA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LOESHA
Middle Name:
Last Name:ZEVIAR-VEGA
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 1:1000 E WALNUT ST STE 225
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1434
Mailing Address - Country:US
Mailing Address - Phone:213-926-2532
Mailing Address - Fax:
Practice Address - Street 1:1000 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1452
Practice Address - Country:US
Practice Address - Phone:213-926-2532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT102292106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist