Provider Demographics
NPI:1225155591
Name:ZARITSKY, MARSHA JEAN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:JEAN
Last Name:ZARITSKY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 STATE AVE NE STE B
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4764
Mailing Address - Country:US
Mailing Address - Phone:360-786-8659
Mailing Address - Fax:
Practice Address - Street 1:1204 4TH AVE E STE 3
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4276
Practice Address - Country:US
Practice Address - Phone:360-786-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004136101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health