NATHAN J ZICCARELLI

MILWAUKEE, WI
NPI1790465300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  20195-130)
Enumeration Date2023-07-19
Last Update Date2023-07-19
Business Address
NATHAN J ZICCARELLI
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-643-8530
Mailing Address
NATHAN J ZICCARELLI
1111 S 6TH ST
MILWAUKEE, WI 53204-2301
Phone number: 414-643-8530