Provider Demographics
NPI:1285710608
Name:GREGORY, ZONA KAY (MA MS LPC)
Entity type:Individual
Prefix:MRS
First Name:ZONA
Middle Name:KAY
Last Name:GREGORY
Suffix:
Gender:F
Credentials:MA MS LPC
Other - Prefix:
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Mailing Address - Street 1:6026 E WALTANN LANE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254
Mailing Address - Country:US
Mailing Address - Phone:623-297-8794
Mailing Address - Fax:480-657-9143
Practice Address - Street 1:10752 N 89TH PL
Practice Address - Street 2:STE 205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6730
Practice Address - Country:US
Practice Address - Phone:480-451-0488
Practice Address - Fax:480-657-9143
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAZ LPC1951101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0912270OtherBLUE CROSS BLUE SHIELD AZ