Individual
MICHAEL KENT ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4070 VICTORIA WAY APT 27, LEXINGTON, KY 40515-4661
(503) 620-1191
Mailing address
4070 VICTORIA WAY APT 27, LEXINGTON, KY 40515-4661
(971) 388-7056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R7598
OR
104100000X
Social Worker
286535
KY
Other
Enumeration date
07/26/2021
Last updated
09/11/2023
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