Individual
PHILIP CALEB ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
Mailing address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02402
MN
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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