| Monticello Counseling Services Ps | |
|
1717 Olympia Way Ste 207 Longview WA 98632-3929 | |
| (360) 425-2819 | |
| (360) 425-2819 |
| Full Name | Monticello Counseling Services Ps |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1717 Olympia Way Ste 207, Longview, Washington |
| Authorized Official Name and Position | Len Zylstra (PRESIDENT) |
| Authorized Official Contact | 3604252819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Counseling Services Ps 1717 Olympia Way Ste 207 Longview WA 98632-3929 Ph: (360) 425-2819 | Monticello Counseling Services Ps 1717 Olympia Way Ste 207 Longview WA 98632-3929 Ph: (360) 425-2819 |
| NPI Number | 1649465048 |
|---|---|
| Provider Enumeration Date | 09/09/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649465048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00004277 (Washington) | Primary |
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