Individual
MR. CHARLES MATTHEW ZOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10071181-6009
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/27/2011
Last updated
08/21/2019
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