IAN ZETTERVALL


Address: 9 Covey Rd, Burlington, CT 06013-1720
Phone: 8606300820

IAN ZETTERVALL (NPI# 1649791310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649791310
Entity Type Individual
Full Name IAN ZETTERVALL
Credential LPC, LADC
Practice Address 9 Covey Rd
Burlington
CT 06013-1720
Mailing Address 135 Brewster Rd
Bristol
CT 06010-5212
Practice Telephone 8606300820
Mailing Telephone 8606300820
Enumeration Date 2017-07-03
Last Update Date 2019-06-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 46.003558 CT Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
001211 CT Behavioral Health & Social Service Providers

Office Location

Street Address 9 COVEY RD
City BURLINGTON
State CT
Zip Code 06013-1720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790080265 David Schwaber D.d.s. Dentist 9 Covey Rd, Burlington, CT 06013-1720 2011-01-14
1598379851 Elite Smiles Dental Group LLC Durable Medical Equipment & Medical Supplies 9 Covey Rd, Burlington, CT 06013-1720 2020-09-03
1811355704 Lauren Johnson Counselor 9 Covey Rd, Suite 2af, Burlington, CT 06013-1720 2016-02-05
1508224858 Kelly Taylor Counselor 9 Covey Rd, 2af, Burlington, CT 06013-1720 2016-02-02
1043684145 Catalyst Counseling of Connecticut Clinic/Center 9 Covey Rd, 2af, Burlington, CT 06013-1720 2015-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669610820 Abraham Shapiro Optometrist 21 Polly Dan Road, Burlington, CT 06013 2009-01-27
1780672220 Burlington Volunteer Fire Department Inc. Ambulance 719 George Washington Turnpike, Burlington, CT 06013-0285 2005-10-10
1780227520 Drew Fisher Student in an Organized Health Care Education/Training Program 27 School House Hl, Burlington, CT 06013-1308 2019-10-24
1205339702 Regional School District #10 Local Education Agency (LEA) 24 Lyon Rd, Burlington, CT 06013-1330 2018-03-12
1346416757 Thomas E Grant Psychologist 10 Katherine Gaylord Ln, Burlington, CT 06013-1409 2008-05-06
1598170391 Laura Flax Speech-Language Pathologist 39 Barnes Hill Rd, Burlington, CT 06013-1502 2014-07-01
1235285081 Diane Marian Mcmillin Social Worker 43 Barnes Hill Rd, Burlington, CT 06013-1502 2007-01-26
1649549734 Christine M Tully Pharmacist 12 Saw Mill Rd, Burlington, CT 06013-1611 2011-12-20
1538664396 Steven J Orlowski Home Health 9 Yorkshire Way, Burlington, CT 06013-1629 2018-03-26
1073099339 Nutmeg Medical Home Health 9 Yorkshire Way, Burlington, CT 06013-1629 2018-07-19
Find all providers in zip 06013

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225508153 Chronic Care Management Services, LLC Counselor 1115 S Church St, Burlington, NC 27215-5047 2018-12-04
1992293617 Paul Nelson Counselor 100 Main St Unit 12, Burlington, VT 05401-8475 2018-04-27
1295230373 Connie Jean Mitchell Counselor 1867 Huntley Way, Burlington, NC 27215-8591 2018-03-29
1598116451 Jennifer Lynn Higgins Counselor 1371 Rose Ave Side Entrance, Burlington, CO 80807-1601 2016-06-22
1639576085 Victoria Thulman Counselor 725 E Fairhaven Ave, Burlington, WA 98233-1914 2014-12-01
1811338213 Jessica April Ocasio Counselor 41 Linden Rd, Burlington, NJ 08016-1052 2013-07-13
1629349006 Kim C Gallagher Counselor 10818 Peter Anderson Rd, Burlington, WA 98233-4717 2012-01-18
1336429422 Linda May Counselor 4715 Sullivan Slough Rd, Burlington, IA 52601-9013 2011-08-22
1881973378 Travis S Andrews Counselor 236 N Mebane St Ste 125, Burlington, NC 27217-3957 2011-08-15
1689953218 Catherine Marie Maclaren Counselor 614 Peterson Rd Ste 100, Burlington, WA 98233-2606 2011-08-13
Find all providers in BURLINGTON

Competitor

Search similar providers

City BURLINGTON
Zip Code 06013

Improve Information

Please comment or provide details below to improve the information on IAN ZETTERVALL.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches