MEDICARE: MS. CHRISTINE ZAZZERI MSC, MFCT

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
1	101YM0800X	Mental Health Counselor	01400	NV

General Provider Information

NPI Number	:	1205109683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE ZAZZERI MSC, MFCT

Provider Business Mailing Address
First Line	:	9402 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-8312
Country	:	US
Telephone Number	:	702-244-0067
Fax Number	:	702-254-7830

Provider Business Practice Location Address
First Line	:	6628 SKY POINTE DR STE 106
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4071
Country	:	US
Telephone Number	:	702-244-0067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2012
Last Update Date	:	05/20/2020

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