Provider Demographics
NPI:1871235861
Name:PICHARDO, ZARAHIS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ZARAHIS
Middle Name:
Last Name:PICHARDO
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 1:1000 ACADEMY DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19543-8904
Mailing Address - Country:US
Mailing Address - Phone:610-913-8000
Mailing Address - Fax:
Practice Address - Street 1:1000 ACADEMY DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:PA
Practice Address - Zip Code:19543-8904
Practice Address - Country:US
Practice Address - Phone:106-913-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014376101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional