Individual
DESADAREA D ZYLSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHCA, NCC
Contact information
Practice address
2801 BERTHOLET BLVD STE 301, VALPARAISO, IN 46383-7959
(708) 820-8097
Mailing address
2736 WINCHESTER DR APT B, VALPARAISO, IN 46383-2810
(219) 508-7577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000744A
IN
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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