Individual provider · Type 1 NPI

Phyllis Zupkow, LPC

Professional Counselor · Decatur, GA

NPI number 1366684607 Active

Practice location

445 Winn Way
Decatur, GA 30030-1707

Mailing address

3031 Ih 10 W
San Antonio, TX 78201-5159

Other practice locations

  • 3031 Ih 10 W, San Antonio, TX 78201-5159 · (210) 731-1300

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X61008 (TX)
Professional Counselor Primary 101YP2500XLPC009475 (GA)

Professional Counselor: Definition to come...

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About NPI 1366684607

Phyllis Zupkow, LPC's National Provider Identifier is 1366684607, issued on Apr 1, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Jul 21, 2022.