Doctor Name: | LUPE ZERMENO |
NPI Number: | 1013373646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAADE |
License Number: | Z1001221532 |
Business Practice Address: | 2034 Kwis Ave Hacienda Heights, CA - 917453332 |
Business Phone Number: | 6264009278 |
Business Fax Number: | |
Mailing Address: | 2034 Kwis Ave, HACIENDA HEIGHTS |
State: | CA |
Postal Code: | 917453332 |
Phone Number: | 6264009278 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2016 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | Z1001221532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |