Provider Demographics
NPI:1528603453
Name:ZOTNOWSKI, KATHY (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:ZOTNOWSKI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 TOPANGA CANYON BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1738
Mailing Address - Country:US
Mailing Address - Phone:818-379-3340
Mailing Address - Fax:
Practice Address - Street 1:5353 TOPANGA CANYON BLVD STE 209
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1738
Practice Address - Country:US
Practice Address - Phone:818-379-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50401106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist