Individual
JACKIE ZAKARIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
(608) 361-0312
Mailing address
11501 ABERDEEN RD, BELVIDERE, IL 61008-8702
(815) 540-5544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
08/07/2023
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