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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN ZETTERVALL, LPC, LADC

Active Sole Proprietor

IAN ZETTERVALL, LPC, LADC is a Counselor healthcare provider located in BRISTOL, Connecticut. NPI 1649791310 is currently active in the NPPES registry. Verify at CMS.

Counselor · BRISTOL, CT

Registration Details

NPI Number
1649791310
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2017 (9.0755397702169 yrs)
Last Updated
Apr 1, 2022
Licenses
001211 (CT)
46.003558 (CT)
Sole Proprietor
Yes

Practice Information

Address
61 BRADLEY ST
BRISTOL, CT, 060105103
Browse CT providers · Browse ZIP 06010
Phone
8608631937
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Counselor

Other Counselor Providers in BRISTOL, CT

Name Credential NPI
MRS. MAUREEN ANN CONSIGLIO LPC NCC 1669570164
DIANA M LUCCI LPC 1811136989
SUSAN MASON LPC LADC 1548597172
MRS. DEBORAH BORGERDING 1659609162
MISS MELISSA ANN ORTIZ LPC 1114236775
ALICIA TURNEY 1730626474
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.