Individual
LENNARD ZYLSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(877) 935-2107
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
(877) 935-2107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LW00004277
WA
1041C0700X
Clinical Social Worker
Primary
LCSW36732
ID
Other
Enumeration date
05/16/2006
Last updated
03/24/2026
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