Provider Demographics
NPI:1366938854
Name:ZURAWSKI, EDYTA (MA, LCPC)
Entity type:Individual
Prefix:
First Name:EDYTA
Middle Name:
Last Name:ZURAWSKI
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 W COLLEGE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1181
Mailing Address - Country:US
Mailing Address - Phone:708-522-9618
Mailing Address - Fax:
Practice Address - Street 1:7300 W COLLEGE DR STE 101
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1181
Practice Address - Country:US
Practice Address - Phone:708-586-7100
Practice Address - Fax:708-586-7112
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-08
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180011497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional