| Doctor Name: | MS. PHYLLIS MARCELL ZAKIAN |
| NPI Number: | 1255517991 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CATC |
| License Number: | |
| Business Practice Address: | 102 W Main St San Jacinto, CA - 925834121 |
| Business Phone Number: | 9514878883 |
| Business Fax Number: | 9514878592 |
| Mailing Address: | 102 W Main St, SAN JACINTO |
| State: | CA |
| Postal Code: | 925834121 |
| Phone Number: | 9514878883 |
| Fax Number: | 9514878592 |
| NPI Enumeration Date: | 01/11/2008 |
| NPI Last Update Date: | 01/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |