Healthcare Provider Details

I. General information

NPI: 1700038411
Provider Name (Legal Business Name): MONICA M ZAVALA LMFT, QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA M ZAVALA LMFT, QMHP

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 W OJAI AVE STE 101-180
OJAI CA
93023-3277
US

IV. Provider business mailing address

226 W OJAI AVE STE 101-180
OJAI CA
93023-3277
US

V. Phone/Fax

Practice location:
  • Phone: 805-707-4625
  • Fax:
Mailing address:
  • Phone: 805-707-4625
  • Fax: 805-232-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT1115
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number86616
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: