Healthcare Provider Details

I. General information

NPI: 1346752961
Provider Name (Legal Business Name): SHARON KATHERINE COVA ZAMORA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2017
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 BROADWAY STE B
PLACERVILLE CA
95667-5900
US

IV. Provider business mailing address

1390 BROADWAY STE B
PLACERVILLE CA
95667-5900
US

V. Phone/Fax

Practice location:
  • Phone: 831-316-4143
  • Fax:
Mailing address:
  • Phone: 831-316-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: