Doctor Name: | CARRIEANN ZONDAG |
NPI Number: | 1275962821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, CAPSW |
License Number: | 128319-121 |
Business Practice Address: | 883 St Albert Dr Sun Prairie, WI - 535904433 |
Business Phone Number: | 9203738996 |
Business Fax Number: | |
Mailing Address: | 883 St Albert Dr, SUN PRAIRIE |
State: | WI |
Postal Code: | 535904433 |
Phone Number: | 9203738996 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 128319-121 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |