Individual
MR. PHILLIP JAMES ZEZULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CAADC
Contact information
Practice address
1480 N M 52 STE 1, OWOSSO, MI 48867-1025
(989) 723-8239
(989) 723-8230
Mailing address
1480 N M 52 STE 1, OWOSSO, MI 48867-1025
(989) 723-8239
(989) 723-8230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401019593
MI
101YM0800X
Mental Health Counselor
6401019593
MI
101YP2500X
Professional Counselor
Primary
6401019593
MI
Other
Enumeration date
09/15/2015
Last updated
12/13/2022
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