Basic Information
| Provider Information | |||||||||
| NPI: | 1114657004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZUNIGA | ||||||||
| FirstName: | ERIK | ||||||||
| MiddleName: | ANTHONY | ||||||||
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| Credential: | LCSW-A, LCAS-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2421 LANDMARK DR APT 225 | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276072802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193324553 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2101 GARNER RD | ||||||||
| Address2: | |||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276100114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198324453 | ||||||||
| FaxNumber: | 9198291357 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2022 | ||||||||
| LastUpdateDate: | 10/27/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 28255 | NC | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 1041C0700X | P018066 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.