Provider Demographics
NPI:1275281958
Name:ZEKAS, URSULA KRISTIN
Entity type:Individual
Prefix:
First Name:URSULA
Middle Name:KRISTIN
Last Name:ZEKAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 GRAND AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-2440
Mailing Address - Country:US
Mailing Address - Phone:760-305-2303
Mailing Address - Fax:
Practice Address - Street 1:1605 GRAND AVE STE 5
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2440
Practice Address - Country:US
Practice Address - Phone:760-305-2303
Practice Address - Fax:760-278-0924
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-12
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126037106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist