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NPI Code Detail

MEDICARE: MS. ZOY KAZAN LMFT

MEDICARE: MS. ZOY KAZAN LMFT
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
1101YM0800XMental Health CounselorMFC 41489CA
2101YP2500XProfessional CounselorMFC 41489CA
3106H00000XMarriage & Family TherapistMFC 41489CA

General Provider Information

NPI Number : 1831241058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZOY KAZAN LMFT
Provider Business Mailing Address
First Line : 1108 W CHURCH ST
Second Line :
City : UKIAH
State : CA
Zip : 95482-4603
Country : US
Telephone Number : 707-472-2922
Fax Number :
Provider Business Practice Location Address
First Line : 350 E GOBBI ST
Second Line :
City : UKIAH
State : CA
Zip : 95482-5511
Country : US
Telephone Number : 707-472-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 12/14/2012

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