| Doctor Name: | MR. WILLIAM GLENN CZERWINSKI |
| NPI Number: | 1942321500 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. LMHC |
| License Number: | LH0008566 |
| Business Practice Address: | 1860 Spencer Ct Dupont, WA - 983278701 |
| Business Phone Number: | 5097016553 |
| Business Fax Number: | |
| Mailing Address: | 9330 59th Ave Sw, LAKEWOOD |
| State: | WA |
| Postal Code: | 984992858 |
| Phone Number: | 2532605134 |
| Fax Number: | 2536205140 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH0008566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |