Provider Demographics
NPI:1255823472
Name:ZALADZIEJEWSKI, COURTNEY R (LPCC)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:R
Last Name:ZALADZIEJEWSKI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 MAHAN RD
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-2416
Mailing Address - Country:US
Mailing Address - Phone:304-374-4222
Mailing Address - Fax:
Practice Address - Street 1:207 N RIVER AVE
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1451
Practice Address - Country:US
Practice Address - Phone:681-522-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2102400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional