Provider Demographics
NPI:1982006987
Name:ZATKOFF, CATHERINE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:ZATKOFF
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23232 CLAIRWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-3414
Mailing Address - Country:US
Mailing Address - Phone:586-296-0634
Mailing Address - Fax:586-296-0634
Practice Address - Street 1:23409 JEFFERSON AVE STE 104
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-3449
Practice Address - Country:US
Practice Address - Phone:586-382-7306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007062101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional