Provider Demographics
NPI:1750407268
Name:ZIELINSKA, DARIA M (MFT)
Entity type:Individual
Prefix:MISS
First Name:DARIA
Middle Name:M
Last Name:ZIELINSKA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18401 BURBANK BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2822
Mailing Address - Country:US
Mailing Address - Phone:818-915-3667
Mailing Address - Fax:818-465-4375
Practice Address - Street 1:18401 BURBANK BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2822
Practice Address - Country:US
Practice Address - Phone:818-915-3667
Practice Address - Fax:818-465-4375
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 4802106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist