Provider Demographics
NPI:1831252485
Name:ZERILLI, LORETTA J (LPC)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:J
Last Name:ZERILLI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LORETTA
Other - Middle Name:J
Other - Last Name:FOLTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 WYATT AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481
Mailing Address - Country:US
Mailing Address - Phone:480-450-3191
Mailing Address - Fax:480-429-9209
Practice Address - Street 1:1601 WYATT AVE
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481
Practice Address - Country:US
Practice Address - Phone:480-520-8121
Practice Address - Fax:480-429-9209
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10547101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional