Provider Demographics
NPI:1467218214
Name:ZZYZX, CHRIX JODEK (AMFT)
Entity type:Individual
Prefix:MR
First Name:CHRIX
Middle Name:JODEK
Last Name:ZZYZX
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:PAUL
Other - Last Name:SCHOONOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7281 DUMOSA AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-3781
Mailing Address - Country:US
Mailing Address - Phone:760-853-4755
Mailing Address - Fax:
Practice Address - Street 1:7281 DUMOSA AVE STE 4
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3781
Practice Address - Country:US
Practice Address - Phone:760-853-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155750106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist