Healthcare Provider Details

I. General information

NPI: 1003033663
Provider Name (Legal Business Name): VICTORIA JANE ZURKAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 WILLOW PASS RD
CONCORD CA
94519-2588
US

IV. Provider business mailing address

719 27TH ST
SAN FRANCISCO CA
94131-1812
US

V. Phone/Fax

Practice location:
  • Phone: 925-363-5000
  • Fax:
Mailing address:
  • Phone: 323-804-7045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 43872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: