Provider Demographics
NPI:1619194784
Name:ZORADI, JANICE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:
Last Name:ZORADI
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 1:569 HIGUERA STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401
Mailing Address - Country:US
Mailing Address - Phone:805-541-0553
Mailing Address - Fax:805-541-0554
Practice Address - Street 1:569 HIGUERA ST
Practice Address - Street 2:SUITE D
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-3861
Practice Address - Country:US
Practice Address - Phone:805-541-0553
Practice Address - Fax:805-541-0554
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist