| Ian Zettervall, LPC, LADC | |
|
61 Bradley St, Bristol, CT 06010-5103 | |
| (860) 863-1937 | |
| Not Available |
| Full Name | Ian Zettervall |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 61 Bradley St, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649791310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001211 (Connecticut) | Secondary |
| 101Y00000X | Counselor | 46.003558 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Zettervall, LPC, LADC 135 Brewster Rd, Bristol, CT 06010-5212 Ph: (860) 630-0820 | Ian Zettervall, LPC, LADC 61 Bradley St, Bristol, CT 06010-5103 Ph: (860) 863-1937 |
Audrey Krawiec, MS Counselor Medicare: Medicare Enrolled Practice Location: 1098 Farmington Ave, Bristol, CT 06010 Phone: 860-589-6433 Fax: 860-589-6442 | |
Ms. Tammy Parker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Edward St, Bristol, CT 06010 Phone: 860-585-8200 Fax: 860-585-8200 | |
Mr. Warren Corson Iv, Counselor Medicare: Not Enrolled in Medicare Practice Location: 489 Wolcott St, 39, Bristol, CT 06010 Phone: 860-543-2384 | |
Jennifer Quagliano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily Marie Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St Ste 106, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily C Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500 | |
Lisa Marie Nelson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 860-582-8167 |