Individual
PETER G ZIMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
412 SIPAPU ST, TAOS, NM 87571-6498
(575) 770-9513
Mailing address
PO BOX 811, TAOS, NM 87571-0811
(575) 770-3507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0203771
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73725773
—
NM
Enumeration date
05/17/2019
Last updated
06/11/2019
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