Individual
JESSICA A. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LMHC
Contact information
Practice address
1720 BEACON ST, FORT WAYNE, IN 46805
(260) 373-8000
(260) 373-8034
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001854A
IN
Other
Enumeration date
05/20/2008
Last updated
05/10/2019
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