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NPI Code Detail

MEDICARE: ZEENA JANOWSKY MFT

MEDICARE: ZEENA JANOWSKY MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15365CA
2101YP2500XProfessional Counselor15365CA

General Provider Information

NPI Number : 1184643348
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZEENA JANOWSKY MFT
Provider Business Mailing Address
First Line : PO BOX 3077
Second Line :
City : SANTA ROSA
State : CA
Zip : 95402-3077
Country : US
Telephone Number : 707-575-0247
Fax Number : 707-566-9574
Provider Business Practice Location Address
First Line : 825 COLLEGE AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4108
Country : US
Telephone Number : 707-575-0247
Fax Number : 707-566-9574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 09/11/2025

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