Zenon Chris M
Individual provider Active NPI Mental Health Counselor · Alta Dena, CA
NPI 1669649018 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1669649018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 760 Mountain View St
Alta Dena, CA 91001 - Phone
- (626) 798-6793
- NPI assigned
- May 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
760 Mountain View St
Alta Dena, CA 91001
Mailing address
760 Mountain View St
Alta Dena, CA 91001
Other providers in Alta Dena, CA
All providers in Alta Dena, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.