Organization
SAMANTHA ZYLSTRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA ZYLSTRA MS (OWNER)
(415) 585-3132
Entity
Organization
Contact information
Practice address
50 S MAIN ST, NAPERVILLE, IL 60540-5484
(415) 585-3132
Mailing address
50 S MAIN ST, NAPERVILLE, IL 60540-5484
(415) 585-3132
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000962
IL
106H00000X
Marriage & Family Therapist
44677
CA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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