Doctor Name: | CHRISTOPHER ZILLA |
NPI Number: | 1174984868 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC008720 |
Business Practice Address: | 543 Franklin Hill Rd Kittanning, PA - 162018921 |
Business Phone Number: | 7245431888 |
Business Fax Number: | |
Mailing Address: | 813 Pony Farm Rd, KITTANNING |
State: | PA |
Postal Code: | 162014731 |
Phone Number: | 7245431888 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2016 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC008720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |