Provider Demographics
NPI:1295822542
Name:ZINAMAN, KATHRYN SISSON (LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:SISSON
Last Name:ZINAMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 RUE DES ETOILES
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5635
Mailing Address - Country:US
Mailing Address - Phone:337-351-9920
Mailing Address - Fax:
Practice Address - Street 1:345 DOUCET RD
Practice Address - Street 2:SUITE 209
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3488
Practice Address - Country:US
Practice Address - Phone:337-344-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3165101YP2500X
TX14728101YP2500X
LA454106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist