Individual
MARY JANE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6501 4TH ST NW STE E-2, LOS RANCHOS, NM 87107
(505) 226-4624
Mailing address
4808 TEODOCIO ST NW, ALBUQUERQUE, NM 87107-3359
(505) 573-2339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0188201
NM
101YP2500X
Professional Counselor
Primary
0188201
NM
Other
Enumeration date
03/25/2011
Last updated
07/03/2018
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