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NPI Code Detail

MEDICARE: DR. MARLO CARNEY ZARZAUR ED.D., LPC

MEDICARE: DR. MARLO CARNEY ZARZAUR ED.D., LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2208TN
2101YM0800XMental Health Counselor4394NC
3101YP2500XProfessional CounselorLPC2208TN
4101YS0200XSchool CounselorTN
5101YP2500XProfessional Counselor10746-125WI
6101Y00000XCounselorLPC2008TN

General Provider Information

NPI Number : 1356500359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLO CARNEY ZARZAUR ED.D., LPC
Provider Business Mailing Address
First Line : 2409 PARMENTER ST APT 425
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-2687
Country : US
Telephone Number : 901-734-1778
Fax Number :
Provider Business Practice Location Address
First Line : 525 JUNCTION RD STE 6500
Second Line :
City : MADISON
State : WI
Zip : 53717-2153
Country : US
Telephone Number : 608-205-8651
Fax Number : 608-470-7481
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2008
Last Update Date : 10/09/2024

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