Healthcare Provider Details

I. General information

NPI: 1699174920
Provider Name (Legal Business Name): JOCELYN ZUNIGA M.S.ED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2014
Last Update Date: 08/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 PEN AVENUE
PITTSBURGH PA
15221
US

IV. Provider business mailing address

409 GROVE RD
VERONA PA
15147-1645
US

V. Phone/Fax

Practice location:
  • Phone: 412-706-2554
  • Fax:
Mailing address:
  • Phone: 412-908-9548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007147
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: