Doctor Name: | MRS. ANNETTE ZAVRO |
NPI Number: | 1073755815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH8243 |
Business Practice Address: | 165 Southpark Blvd Suite D St Augustine, FL - 320864101 |
Business Phone Number: | 9048247597 |
Business Fax Number: | 9048247598 |
Mailing Address: | 165 Southpark Blvd, Suite D ST AUGUSTINE |
State: | FL |
Postal Code: | 320864101 |
Phone Number: | 9048247597 |
Fax Number: | 9048247598 |
NPI Enumeration Date: | 03/25/2009 |
NPI Last Update Date: | 03/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |