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Ian Zettervall, LPC,LADC
Counselor in Bristol, Connecticut
NPI 1649791310

Ian Zettervall is a Counselor based in Bristol, CT. Ian Zettervall practices in Bristol, CT and has the professional credentials of LPC,LADC. The NPI Number for Ian Zettervall is 1649791310 and holds a License No. 001211 (Connecticut).

The current practice location address for Ian Zettervall is 61 Bradley St, Bristol, CT and can be reached out via phone at 860-863-1937.

Location: 61 Bradley St, Bristol, CT, 06010-5212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649791310
Provider Name
Ian Zettervall
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
61 Bradley St, Bristol, CT, 06010-5212
Phone Number
860-863-1937
Fax Number
Provider Enumeration Date
07/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
61 Bradley St
City
Bristol
State
Connecticut
Zip
06010-5103
Phone Number
860-863-1937
Fax Number
person
Provider Business Mailing Address Details
Address
61 Bradley St
City
Bristol
State
Connecticut
Zip
06010-5103
Phone Number
860-863-1937
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
46.003558 (Connecticut)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
001211 (Connecticut)
Definition
Definition to come...
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