Provider Demographics
NPI:1093592669
Name:ZEITLER, ERIC J I (MA, NCC, LPC-A)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:ZEITLER
Suffix:I
Gender:M
Credentials:MA, NCC, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 STILLMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2616
Mailing Address - Country:US
Mailing Address - Phone:203-200-0267
Mailing Address - Fax:
Practice Address - Street 1:31 STILLMEADOW CIR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2616
Practice Address - Country:US
Practice Address - Phone:203-200-0267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6766101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor