Provider Demographics
NPI:1134277890
Name:ZARCHIN, JANNA (LMFT)
Entity type:Individual
Prefix:MS
First Name:JANNA
Middle Name:
Last Name:ZARCHIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:A
Other - Last Name:ZARCHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-0505
Mailing Address - Country:US
Mailing Address - Phone:631-656-0563
Mailing Address - Fax:
Practice Address - Street 1:103 FORT SALONGA RD STE 14
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1454
Practice Address - Country:US
Practice Address - Phone:631-656-0563
Practice Address - Fax:631-651-8688
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000002-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist