Individual
JACOB ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 LYNDALE AVE S, MINNEAPOLIS, MN 55403-3104
(800) 336-5973
(612) 234-4689
Mailing address
215 5TH ST NE APT.1G, MINNEAPOLIS, MN 55413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204
LICENSE LPCC
—
Enumeration date
04/20/2016
Last updated
07/30/2024
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