Provider Demographics
NPI:1619532835
Name:ZURKIWSKYJ, CHRISTINA ODARKA (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ODARKA
Last Name:ZURKIWSKYJ
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 1:2230 OAKCREST RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4278
Mailing Address - Country:US
Mailing Address - Phone:586-489-4695
Mailing Address - Fax:
Practice Address - Street 1:2230 OAKCREST RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4278
Practice Address - Country:US
Practice Address - Phone:586-489-4695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017166101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional