Provider Demographics
NPI:1154503100
Name:ZAVALA, TRINIDAD M (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:TRINIDAD
Middle Name:M
Last Name:ZAVALA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 CARDINI LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-1992
Mailing Address - Country:US
Mailing Address - Phone:510-612-1211
Mailing Address - Fax:
Practice Address - Street 1:211 CARDINI LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-1992
Practice Address - Country:US
Practice Address - Phone:510-612-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-01
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT86521106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist