Individual
MR. RYAN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
15655 W ROOSEVELT ST, GOODYEAR, AZ 85338-9282
(623) 451-5917
Mailing address
PO BOX 7405, GOODYEAR, AZ 85338-0641
(623) 337-2275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17247
AZ
Other
Enumeration date
01/14/2019
Last updated
01/08/2025
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