Individual provider · Type 1 NPI

Ian Zettervall, LPC, LADC

Counselor · Bristol, CT

NPI number 1649791310 Active

Practice location

61 Bradley St
Bristol, CT 06010-5103

Call (860) 863-1937 Map

Mailing address

135 Brewster Rd
Bristol, CT 06010-5212

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X001211 (CT)
Counselor Primary 101Y00000X46.003558 (CT)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1649791310

Ian Zettervall, LPC, LADC's National Provider Identifier is 1649791310, issued on Jul 3, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bristol, CT. The record was last updated on Apr 1, 2022.