Healthcare Provider Details

I. General information

NPI: 1528802402
Provider Name (Legal Business Name): ZARYA DENSON-CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date: 09/27/2024
Reactivation Date: 10/31/2024

III. Provider practice location address

1333 WILLOW PASS RD STE 102
CONCORD CA
94520-5225
US

IV. Provider business mailing address

1333 WILLOW PASS RD STE 200
CONCORD CA
94520-7923
US

V. Phone/Fax

Practice location:
  • Phone: 411-004-0720
  • Fax:
Mailing address:
  • Phone: 925-726-7716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: