Provider Demographics
NPI:1013277797
Name:ZANGARA, DARLENE GONCZ (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:GONCZ
Last Name:ZANGARA
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:DR
Other - First Name:DARLENE
Other - Middle Name:GONCZ
Other - Last Name:ZANGARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:369 W 1ST ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-3029
Mailing Address - Country:US
Mailing Address - Phone:937-641-8128
Mailing Address - Fax:605-367-5958
Practice Address - Street 1:369 W 1ST ST STE 201
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-3029
Practice Address - Country:US
Practice Address - Phone:937-641-8128
Practice Address - Fax:605-367-5958
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC6246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health