Healthcare Provider Details

I. General information

NPI: 1114468063
Provider Name (Legal Business Name): CHRISTINA ZAVALIJ LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2017
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3417 14TH ST NW
WASHINGTON DC
20010-3402
US

IV. Provider business mailing address

2208 COLD MEADOW WAY
SILVER SPRING MD
20906-6213
US

V. Phone/Fax

Practice location:
  • Phone: 240-507-5330
  • Fax:
Mailing address:
  • Phone: 240-507-5330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC7735
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPRC14885
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: