Healthcare Provider Details

I. General information

NPI: 1366366528
Provider Name (Legal Business Name): JOSEPH W ZACAROLO BA, CADC, ISSA-MT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8888 CLOVERFIELD DR
KANNAPOLIS NC
28081-8578
US

IV. Provider business mailing address

8888 CLOVERFIELD DR
KANNAPOLIS NC
28081-8578
US

V. Phone/Fax

Practice location:
  • Phone: 704-787-4533
  • Fax:
Mailing address:
  • Phone: 704-787-4533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number28881
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: