Organization
MONTICELLO COUNSELING SERVICES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEN ZYLSTRA MSW (PRESIDENT)
(360) 425-2819
Entity
Organization
Contact information
Practice address
1717 OLYMPIA WAY STE 207, LONGVIEW, WA 98632-3929
(360) 425-2819
(360) 425-2819
Mailing address
1717 OLYMPIA WAY STE 207, LONGVIEW, WA 98632-3929
(360) 425-2819
(360) 425-2819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004277
WA
Other
Enumeration date
09/09/2007
Last updated
10/25/2007
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