Individual
MR. RICHARD JACOB ZELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
756 PURPLE SAGE RD, BANDERA, TX 78003-3981
(830) 328-2986
Mailing address
756 PURPLE SAGE RD, BANDERA, TX 78003-3981
(830) 328-2986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
71486
TX
101YP2500X
Professional Counselor
71486
TX
Other
Enumeration date
05/17/2018
Last updated
03/28/2025
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