MEDICARE: ANEDRA ZENO

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1417496100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANEDRA ZENO

Provider Business Mailing Address
First Line	:	PO BOX 926
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70069-0926
Country	:	US
Telephone Number	:	504-905-5963
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 GLENDALE DR APT 3
Second Line	:
City	:	LA PLACE
State	:	LA
Zip	:	70068-3152
Country	:	US
Telephone Number	:	504-905-5963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	02/15/2017

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Directions to “ ANEDRA ZENO ” Practice Location

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