Individual
STEPHANIE ZIMMERMAN-CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
301385
Contact information
Practice address
3428 5TH AVE S, MINNEAPOLIS, MN 55408-4529
(612) 250-5936
Mailing address
3428 5TH AVE S, MINNEAPOLIS, MN 55408-4529
(612) 250-5936
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301385
MN
101YP2500X
Professional Counselor
Primary
3517
MN
Other
Enumeration date
05/23/2016
Last updated
10/21/2025
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