Basic Information
| Provider Information | |||||||||
| NPI: | 1225559271 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAVALA-SUAREZ | ||||||||
| FirstName: | ELVIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2320 MONICA DR | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982738435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604839565 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 125 N 18TH ST STE A | ||||||||
| Address2: | |||||||||
| City: | MOUNT VERNON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982733902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603628821 | ||||||||
| FaxNumber: | 3605885565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2017 | ||||||||
| LastUpdateDate: | 06/29/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | SC60763150 | WA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.