Provider Demographics
NPI:1104019892
Name:ZIELINSKI, KATHLEEN ELIZABETH (MA, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:MA, LCADC
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:ELIZABETH
Other - Last Name:CONSIDINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37 HAWK LN
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2070
Mailing Address - Country:US
Mailing Address - Phone:856-220-3866
Mailing Address - Fax:
Practice Address - Street 1:773 ROUTE 70 E STE E100
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2363
Practice Address - Country:US
Practice Address - Phone:856-942-3706
Practice Address - Fax:856-452-5758
Is Sole Proprietor?:No
Enumeration Date:2007-08-25
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NJ37LC00311500101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor