Individual
KIM L. ZUCKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1679 HICKORY WOOD CT, LAWRENCEVILLE, GA 30043-3560
(561) 252-4097
Mailing address
1679 HICKORY WOOD CT, LAWRENCEVILLE, GA 30043-3560
(561) 252-4097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC005527
GA
101YM0800X
Mental Health Counselor
Primary
MH7201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764235100
—
FL
Enumeration date
07/25/2006
Last updated
01/16/2009
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