Provider Demographics
NPI:1548450430
Name:ALMA-ZAPATA, ALEJANDRA (MS, CAAC, ICAADC,SAP)
Entity type:Individual
Prefix:MS
First Name:ALEJANDRA
Middle Name:
Last Name:ALMA-ZAPATA
Suffix:
Gender:F
Credentials:MS, CAAC, ICAADC,SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6570 HERON PT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2057
Mailing Address - Country:US
Mailing Address - Phone:248-681-9697
Mailing Address - Fax:248-874-4830
Practice Address - Street 1:35 W HURON ST STE 500
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-2125
Practice Address - Country:US
Practice Address - Phone:248-858-7800
Practice Address - Fax:248-874-4830
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301008679103TC0700X
MIC-00823101YA0400X
PAIC & RC 200542101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)