Healthcare Provider Details

I. General information

NPI: 1598581993
Provider Name (Legal Business Name): MARIA ZAMBRANO M.S., PPSC, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 W ADAMS ST
SANTA ANA CA
92704-5717
US

IV. Provider business mailing address

26411 JULIE LN
HOMELAND CA
92548-9775
US

V. Phone/Fax

Practice location:
  • Phone: 714-285-3784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18088
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number18088
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number18088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: