Provider Demographics
NPI:1831796457
Name:ZENS, NICOLE (MS, LMFT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ZENS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25381 COACH SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5861
Mailing Address - Country:US
Mailing Address - Phone:949-616-6598
Mailing Address - Fax:
Practice Address - Street 1:25302 PERCH DR
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2052
Practice Address - Country:US
Practice Address - Phone:949-616-6598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist