Provider Demographics
NPI:1730207200
Name:ZURACK, CLAIRE (MFT)
Entity type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:ZURACK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11A WARNER CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3902
Mailing Address - Country:US
Mailing Address - Phone:415-457-1925
Mailing Address - Fax:415-457-1929
Practice Address - Street 1:1401 LOS GAMOS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1809
Practice Address - Country:US
Practice Address - Phone:415-457-1925
Practice Address - Fax:415-457-1929
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT31010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist