Healthcare Provider Details

I. General information

NPI: 1528603453
Provider Name (Legal Business Name): KATHY ZOTNOWSKI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 TOPANGA CANYON BLVD STE 209
WOODLAND HILLS CA
91364-1738
US

IV. Provider business mailing address

5353 TOPANGA CANYON BLVD STE 209
WOODLAND HILLS CA
91364-1738
US

V. Phone/Fax

Practice location:
  • Phone: 818-379-3340
  • Fax:
Mailing address:
  • Phone: 818-379-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number50401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: