Provider Demographics
NPI:1720870751
Name:SOPHT ZAMORA, CAROL FLEURETTE (LPC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:FLEURETTE
Last Name:SOPHT ZAMORA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 S CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BREMO BLUFF
Mailing Address - State:VA
Mailing Address - Zip Code:23022-2314
Mailing Address - Country:US
Mailing Address - Phone:540-920-7314
Mailing Address - Fax:
Practice Address - Street 1:265 S CREEK LN
Practice Address - Street 2:
Practice Address - City:BREMO BLUFF
Practice Address - State:VA
Practice Address - Zip Code:23022-2314
Practice Address - Country:US
Practice Address - Phone:540-920-7314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014873101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor