Provider Demographics
NPI:1396891685
Name:ALVAREZ, ZOZIMA (CHES, CLE)
Entity type:Individual
Prefix:MS
First Name:ZOZIMA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:CHES, CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-4358
Mailing Address - Country:US
Mailing Address - Phone:909-399-5075
Mailing Address - Fax:
Practice Address - Street 1:249 E POMONA BLVD
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-7237
Practice Address - Country:US
Practice Address - Phone:323-278-4202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACHES19042101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor