Basic Information
| Provider Information | |||||||||
| NPI: | 1144681131 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZALONA | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | ILANA LINZER | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 511 HAMPSTEAD WAY | ||||||||
| Address2: | |||||||||
| City: | SANTA CRUZ | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950625334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8314310774 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 HARVEY WEST BLVD | ||||||||
| Address2: | |||||||||
| City: | SANTA CRUZ | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950602103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8314258132 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2016 | ||||||||
| LastUpdateDate: | 07/30/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 1041C0700X | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.