ANTONIO ZAVALA SOSA

MOUNT VERNON, WA
NPI1386790020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00004425)
Enumeration Date2007-01-26
Last Update Date2007-07-08
Business Address
-- ANTONIO ZAVALA SOSA ATA
2500 E COLLEGE WAY SUITE 100
MOUNT VERNON, WA 98273-5862
Phone number: 360-428-8912
Mailing Address
-- ANTONIO ZAVALA SOSA ATA
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0112