Provider Demographics
NPI:1033495619
Name:ZERWAS, PATRICK (LADC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:ZERWAS
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 5TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-2208
Mailing Address - Country:US
Mailing Address - Phone:218-820-0942
Mailing Address - Fax:
Practice Address - Street 1:314 JEFFERSON ST S
Practice Address - Street 2:
Practice Address - City:WADENA
Practice Address - State:MN
Practice Address - Zip Code:56482-1534
Practice Address - Country:US
Practice Address - Phone:218-820-0942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302213101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)