Provider Demographics
NPI:1861983942
Name:ZHANG, JING (LMSW)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:JING
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:2339 JONATHON CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2525
Mailing Address - Country:US
Mailing Address - Phone:510-693-7273
Mailing Address - Fax:
Practice Address - Street 1:2339 JONATHON CT
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2525
Practice Address - Country:US
Practice Address - Phone:510-693-7273
Practice Address - Fax:734-272-4878
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2021-08-25
Deactivation Date:2021-07-02
Deactivation Code:
Reactivation Date:2021-07-22
Provider Licenses
StateLicense IDTaxonomies
MI6801110217101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health