Provider Demographics
NPI:1962062166
Name:ZULEWSKI, LILIAN A (LMFT 150634)
Entity type:Individual
Prefix:
First Name:LILIAN
Middle Name:A
Last Name:ZULEWSKI
Suffix:
Gender:F
Credentials:LMFT 150634
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14221 W KEARNEY BLVD
Mailing Address - Street 2:
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-9344
Mailing Address - Country:US
Mailing Address - Phone:559-905-7996
Mailing Address - Fax:
Practice Address - Street 1:4468 E KINGS CANYON RD BLDG 340
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3605
Practice Address - Country:US
Practice Address - Phone:559-600-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT150634106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist