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Milan Douglas Zydow
Mental Health Counselor in Kensington, California
NPI 1174080139

Milan Douglas Zydow is a Mental Health Counselor based in Kensington, CA and is specialized in Mental Health. Milan Douglas Zydow practices in Kensington, CA. The NPI Number for Milan Douglas Zydow is 1174080139 and holds a License No. 40579 (California).

The current practice location address for Milan Douglas Zydow is 376 Colusa Ave, Kensington, CA and can be reached out via phone at 510-816-6258.

Location: 376 Colusa Ave, Kensington, CA, 94707-1213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174080139
Provider Name
Milan Douglas Zydow
Credential
Provider Entity Type
Individual
Gender
Male
Address
376 Colusa Ave, Kensington, CA, 94707-1213
Phone Number
510-816-6258
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
376 Colusa Ave
City
Kensington
State
California
Zip
94707-1213
Phone Number
510-816-6258
Fax Number
person
Provider Business Mailing Address Details
Address
376 Colusa Ave
City
Kensington
State
California
Zip
94707-1213
Phone Number
510-816-6258
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
40579 (California)
Definition
Definition to come...
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