Organization
JESSICA A. ZIMMERMAN LMHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA A. ZIMMERMAN M.ED, LMHC (OWNER)
(260) 414-2690
Entity
Organization
Contact information
Practice address
6530 CONSTITUTION DR, FORT WAYNE, IN 46804-1550
(260) 414-2690
Mailing address
6530 CONSTITUTION DR, FORT WAYNE, IN 46804-1550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
39001854A
IN
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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