Provider Demographics
NPI:1538650908
Name:ZERKLE, MARY ANN (CDCA)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:ZERKLE
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 390
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25708-0390
Mailing Address - Country:US
Mailing Address - Phone:304-429-1088
Mailing Address - Fax:
Practice Address - Street 1:420 SILVER BRIDGE PLZ
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1861
Practice Address - Country:US
Practice Address - Phone:740-446-4600
Practice Address - Fax:740-446-2944
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health