Healthcare Provider Details

I. General information

NPI: 1942602305
Provider Name (Legal Business Name): GLORIA MARIA NUNO-ZEPEDA LMFT #123924
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W LAUREL AVE
LOMPOC CA
93436-5160
US

IV. Provider business mailing address

PO BOX 1705
BUELLTON CA
93427-1705
US

V. Phone/Fax

Practice location:
  • Phone: 805-737-6010
  • Fax:
Mailing address:
  • Phone: 805-260-2963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: