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Individual

ZACHARY ZELLNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, SAC-IT

Contact information

Practice address
1234 MAIN ST STE 3, GREEN BAY, WI 54302-1307
(920) 224-2056
Mailing address
831 N CHESTNUT AVE, GREEN BAY, WI 54303-3431
(920) 224-2056

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10820-125
WI
101YP2500X
Professional Counselor
Primary
10820
WI
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/19/2019
Last updated
10/22/2024
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