Jay Zlotnick, MSW, MFT

NPI 1386704047 · on the registry since 2006

Practice

Address: 914 Mission Ave
Buckelew Programs
San Rafael, CA 94901
Phone: (415) 457-6964
Fax: (415) 721-0281
Organisation at this address: Carlos Barahona
Buckelew Programs
Buckelew Programs
Buckelew Programs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 86

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California