Provider Demographics
NPI:1679088926
Name:ZUKOWSKI, BRITTANY (MS, MA, LMFT, LLPC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:ZUKOWSKI
Suffix:
Gender:F
Credentials:MS, MA, LMFT, LLPC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:BUDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7279 BLAKELY DR NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-9488
Mailing Address - Country:US
Mailing Address - Phone:616-439-1077
Mailing Address - Fax:
Practice Address - Street 1:92 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881-5102
Practice Address - Country:US
Practice Address - Phone:616-642-6466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016391101YP2500X
MI4101007144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional