Provider Demographics
NPI:1124313242
Name:ZAZUETA, ALLISON RAY (CAS)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:RAY
Last Name:ZAZUETA
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9716 CIMARRON TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-2200
Mailing Address - Country:US
Mailing Address - Phone:661-699-4434
Mailing Address - Fax:
Practice Address - Street 1:9716 CIMARRON TRAILS DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-2200
Practice Address - Country:US
Practice Address - Phone:661-699-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA02-062087101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)