Individual
ADAM ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4275
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
167G00000X
Licensed Psychiatric Technician
—
—
Other
Enumeration date
12/18/2012
Last updated
04/27/2020
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