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MILAN DOUGLAS ZYDOW

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174080139

Individual Registrant:
 MILAN DOUGLAS ZYDOW 
Gender: M
Sole Proprietor

Location and contact information for practice:
376 COLUSA AVE  KENSINGTON, CA 94707-1213 US
Tel: 510-816-6258  Fax: --

Contact information for business:
376 COLUSA AVE  KENSINGTON, CA 94707-1213 US
Tel: 510-816-6258  Fax: --

Registration Information:
NPI: 1174080139
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CA40579

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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