Provider Demographics
NPI:1275281958
Name:ZEKAS, URSULA KRISTIN
Entity Type:Individual
Prefix:
First Name:URSULA
Middle Name:KRISTIN
Last Name:ZEKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 LINDA VISTA DR SPC 80
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-6320
Mailing Address - Country:US
Mailing Address - Phone:760-305-2303
Mailing Address - Fax:
Practice Address - Street 1:2181 S EL CAMINO REAL STE 204
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6288
Practice Address - Country:US
Practice Address - Phone:619-549-0329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional