Healthcare Provider Details

I. General information

NPI: 1245512086
Provider Name (Legal Business Name): MS. MAGDALENA ZUREK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAGGIE ZUREK

II. Dates (important events)

Enumeration Date: 09/19/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 IRVING ST
SAN FRANCISCO CA
94122-2599
US

IV. Provider business mailing address

529 IRVING STREET
SAN FRANCISCO CA
94122
US

V. Phone/Fax

Practice location:
  • Phone: 415-987-3449
  • Fax:
Mailing address:
  • Phone: 415-987-3449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT88862
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: