Individual
ZACHARY PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3565 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
Mailing address
3563 S STATE ROAD 13, WABASH, IN 46992-9162
(260) 563-8453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
35002282A
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300072721
—
IN
Enumeration date
01/13/2021
Last updated
03/28/2023
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