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NPI Code Detail

MEDICARE: MRS. JESSICA LILLIAN ZOVAR M.A.

MEDICARE:  MRS. JESSICA LILLIAN ZOVAR  M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT111742CA

General Provider Information

NPI Number : 1356893135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA LILLIAN ZOVAR M.A.
Provider Business Mailing Address
First Line : PO BOX 1870
Second Line :
City : WATSONVILLE
State : CA
Zip : 95077-1870
Country : US
Telephone Number : 831-728-0222
Fax Number : 831-707-2777
Provider Business Practice Location Address
First Line : 711 41ST AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-5208
Country : US
Telephone Number : 310-428-8689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 08/21/2019

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Directions to “ MRS. JESSICA LILLIAN ZOVAR M.A.” Practice Location

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