Individual
NATHAN J ZICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2814 S 108TH ST STE 100, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20195-130
WI
Other
Enumeration date
07/19/2023
Last updated
03/10/2026
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