Provider Demographics
NPI:1447915194
Name:ZANG KATULARU, MARNIE (LPC, NCC, MS)
Entity type:Individual
Prefix:MRS
First Name:MARNIE
Middle Name:
Last Name:ZANG KATULARU
Suffix:
Gender:F
Credentials:LPC, NCC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12550 N 89TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5028
Mailing Address - Country:US
Mailing Address - Phone:480-253-8379
Mailing Address - Fax:
Practice Address - Street 1:123 E BASELINE RD STE D107
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1292
Practice Address - Country:US
Practice Address - Phone:480-253-8379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19989101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional