MEDICARE: AMY ABRAHAM ZERAI MA, MFT #111176

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	106H00000X	Marriage & Family Therapist
2	101Y00000X	Counselor
3	106H00000X	Marriage & Family Therapist	111176	CA

General Provider Information

NPI Number	:	1447495478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY ABRAHAM ZERAI MA, MFT #111176

Provider Business Mailing Address
First Line	:	9117 FEATHER RIVER WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2423
Country	:	US
Telephone Number	:	510-459-6279
Fax Number	:

Provider Business Practice Location Address
First Line	:	9117 FEATHER RIVER WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2423
Country	:	US
Telephone Number	:	510-459-6279
Fax Number	:

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

Provider Enumeration Date	:	12/04/2008
Last Update Date	:	09/11/2024

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