Individual
SHANA ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3747 N 24TH ST, PHOENIX, AZ 85016-6510
(480) 648-8008
Mailing address
3436 E BERYL LN, PHOENIX, AZ 85028-3915
(520) 425-7017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22674
AZ
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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