Provider Demographics
NPI:1750524047
Name:ZAFFINA, ROSEMARIE JO (MFT)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:JO
Last Name:ZAFFINA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 WESTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1913
Mailing Address - Country:US
Mailing Address - Phone:310-652-0937
Mailing Address - Fax:310-652-5616
Practice Address - Street 1:505 WESTBOURNE DR
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1913
Practice Address - Country:US
Practice Address - Phone:310-652-0937
Practice Address - Fax:310-652-5616
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT29356106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist