Individual provider · Type 1 NPI
Nathan J. Ziccarelli
Addiction (Substance Use Disorder) Counselor · West Allis, WI
NPI number
1790465300
Active
Practice location
2814 S 108th St Ste 100
West Allis, WI 53227-3224
Mailing address
8444 N 90th St Ste 100
Scottsdale, AZ 85258-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20195-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790465300
Nathan J. Ziccarelli's National Provider Identifier is 1790465300, issued on Jul 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Allis, WI. The record was last updated on Mar 10, 2026.