Provider Demographics
NPI:1235813361
Name:ZERABRUK, JANE LYN (LSWA-IC)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:LYN
Last Name:ZERABRUK
Suffix:
Gender:F
Credentials:LSWA-IC
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16014 ASH WAY APT 305
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-8788
Mailing Address - Country:US
Mailing Address - Phone:142-556-3857
Mailing Address - Fax:
Practice Address - Street 1:16014 ASH WAY
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-8527
Practice Address - Country:US
Practice Address - Phone:425-563-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC614305921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical