Individual
MARY MIKELL ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
804 AIRPORT WAY, BONNER BUSINESS CENTER, SANDPOINT, ID 83864-8200
(208) 597-3553
Mailing address
804 AIRPORT WAY, BONNER BUSINESS CENTER, SANDPOINT, ID 83864-8200
(208) 597-3553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3664
ID
Other
Enumeration date
03/06/2008
Last updated
04/04/2008
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