Healthcare Provider Details
I. General information
NPI: 1851671093
Provider Name (Legal Business Name): PATRICIA LYNN ZUREICK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/19/2011
Last Update Date: 11/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2330 VICTORY PARKWAY AVE MERCY PROFESSIONAL SERVICES SUITE 500
CINCINNATI OH
45206
US
IV. Provider business mailing address
2330 VICTORY PKWY STE 500
CINCINNATI OH
45206-2874
US
V. Phone/Fax
- Phone: 513-221-2330
- Fax:
- Phone: 513-451-6159
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | C0900509 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: