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NPI Code Detail

MEDICARE: ZULEMA ZELENE VELAZQUEZ MA

MEDICARE: ZULEMA ZELENE VELAZQUEZ MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1138124OTHERCABOARD OF BEHAVIORAL SCIENCES AMFT

General Provider Information

NPI Number : 1013347236
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZULEMA ZELENE VELAZQUEZ MA
Provider Business Mailing Address
First Line : 14677 MERRILL AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-4219
Country : US
Telephone Number : 951-643-2340
Fax Number :
Provider Business Practice Location Address
First Line : 14677 MERRILL AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-4219
Country : US
Telephone Number : 951-643-2340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2013
Last Update Date : 05/22/2025

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Directions to “ ZULEMA ZELENE VELAZQUEZ MA” Practice Location

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