Provider Demographics
NPI:1851758593
Name:ZEROVNIK, KRISTEN M (LPC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:ZEROVNIK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:MARIE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:751 E HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1714
Mailing Address - Country:US
Mailing Address - Phone:717-489-2901
Mailing Address - Fax:717-366-4662
Practice Address - Street 1:815 BRUCE AVE.
Practice Address - Street 2:
Practice Address - City:MT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552
Practice Address - Country:US
Practice Address - Phone:717-489-2901
Practice Address - Fax:717-366-4662
Is Sole Proprietor?:No
Enumeration Date:2016-01-26
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60779557101YM0800X
PAPC011488101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104123191-0003Medicaid
WA2085716Medicaid
PAPC011488OtherLPC