Zettervall, Ian

Zettervall, Ian is an sole proprietor health care provider with primary practice located at 61 Bradley St , Bristol CT 06010-5103. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Zettervall, Ian can be contacted via phone (860) 863-1937.

Contact Information

Primary practice address
61 Bradley St Bristol CT 06010-5103
Phone: (860) 863-1937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001211 Connecticut
Behavioral Health & Social Service Providers / Counselor 101Y00000X 46.003558 Connecticut

Profile Details

NPI number 1649791310
LBN Legal business name Zettervall, Ian
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2017
Last updated Apr 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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