Provider Demographics
NPI:1922693332
Name:ZARETZKY, PATRICIA D (MS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:D
Last Name:ZARETZKY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 WALDEN OFFICE SQ
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4295
Mailing Address - Country:US
Mailing Address - Phone:847-497-5730
Mailing Address - Fax:
Practice Address - Street 1:1821 WALDEN OFFICE SQ
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4295
Practice Address - Country:US
Practice Address - Phone:847-497-5730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.013563101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional