Healthcare Provider Details

I. General information

NPI: 1679949192
Provider Name (Legal Business Name): TAJ-ZSA MARIE HOWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 07/19/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 S A STREET
OXNARD CA
93030
US

IV. Provider business mailing address

716 N VENTURA RD # 145
OXNARD CA
93030-4405
US

V. Phone/Fax

Practice location:
  • Phone: 323-389-5354
  • Fax:
Mailing address:
  • Phone: 323-389-5354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW99475
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: