Healthcare Provider Details

I. General information

NPI: 1285957084
Provider Name (Legal Business Name): NICOLLE MARIE ZAPIEN MA, ED.M, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2010
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5625 COLLEGE AV. #216F
OAKLAND CA
94618
US

IV. Provider business mailing address

5625 COLLEGE AV. #216F
OAKLAND CA
94618
US

V. Phone/Fax

Practice location:
  • Phone: 415-835-2195
  • Fax:
Mailing address:
  • Phone: 415-835-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number46946
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: