Individual
JONATHAN ZALESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1502 S COLLEGE AVE, FORT COLLINS, CO 80524-4116
(303) 667-2940
Mailing address
3143 TWIN WASH SQ, FORT COLLINS, CO 80528-9439
(303) 667-2940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC.0012104
CO
101YM0800X
Mental Health Counselor
LPC.0012104
CO
101YP2500X
Professional Counselor
Primary
LPC.0012104
CO
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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