Individual
MR. GERALD A ZICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
297 SUMMER ST, ST JOHNSBURY, VT 05819
(802) 748-1682
(802) 748-0211
Mailing address
79 BOYNTON AVE, ST JOHNSBURY, VT 05819
(802) 748-1682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000273
VT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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