Provider Demographics
NPI:1144362310
Name:ZAMINSKY, MENA (MA, MFT, CATC)
Entity type:Individual
Prefix:
First Name:MENA
Middle Name:
Last Name:ZAMINSKY
Suffix:
Gender:F
Credentials:MA, MFT, CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NEW MONTGOMERY ST STE 326
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3425
Mailing Address - Country:US
Mailing Address - Phone:415-420-4464
Mailing Address - Fax:
Practice Address - Street 1:55 NEW MONTGOMERY ST STE 326
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3425
Practice Address - Country:US
Practice Address - Phone:415-420-4464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
CA41265106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)