Provider Demographics
NPI:1861483836
Name:ZAJONC, SUSAN (RN, MS, NCC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:ZAJONC
Suffix:
Gender:F
Credentials:RN, MS, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8514 S SAGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-9271
Mailing Address - Country:US
Mailing Address - Phone:509-443-1187
Mailing Address - Fax:509-448-1328
Practice Address - Street 1:8514 S SAGEWOOD RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-9271
Practice Address - Country:US
Practice Address - Phone:509-443-1187
Practice Address - Fax:509-448-1328
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003643101YM0800X
WARN00068490163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered163W00000XNursing Service ProvidersRegistered Nurse