Basic Information
| Provider Information | |||||||||
| NPI: | 1861945461 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZIELENSKI | ||||||||
| FirstName: | CALLISYN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3450 3RD ST STE 1C | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941241444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1544373990 | ||||||||
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| Practice Location | |||||||||
| Address1: | 401 ROLAND WAY STE 150 | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946212027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5107462800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2016 | ||||||||
| LastUpdateDate: | 01/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 84949 | CA | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.