Provider Demographics
NPI:1982062543
Name:ZAWISZA, CATHERINE (MA, LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:ZAWISZA
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6036 SYLVAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-6002
Mailing Address - Country:US
Mailing Address - Phone:419-474-8106
Mailing Address - Fax:
Practice Address - Street 1:2411 SEAMAN ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-1519
Practice Address - Country:US
Practice Address - Phone:419-693-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0008141-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional