Healthcare Provider Details

I. General information

NPI: 1083519276
Provider Name (Legal Business Name): AURORA DEL CARMEN SOTO DE ZAVALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3009 N WEST ST
FLAGSTAFF AZ
86004-3444
US

IV. Provider business mailing address

1858 W UNIVERSITY HEIGHTS DR S
FLAGSTAFF AZ
86005-9130
US

V. Phone/Fax

Practice location:
  • Phone: 928-719-4009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20622
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: