Individual
KIMBERLEY ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6007
Mailing address
743 STRYKER AVE, SAINT PAUL, MN 55107-1148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2096
MN
Other
Enumeration date
09/13/2019
Last updated
08/12/2022
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