Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathan J Ziccarelli

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790465300

Nathan J Ziccarelli is an Addiction (Substance Use Disorder) Counselor in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

2814 S 108th St Ste 100
West Allis, WI 53227-3224
Phone: (414) 885-3525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20195-130 (WI)

Record details

NPI number1790465300
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

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