NPI 1023288974

Mary Mikell Zimmerman, MS

Practitioner Professional Counselor Sandpoint, ID

Practice location

Address: 804 Airport Way Bonner Business Center, Sandpoint, ID 83864-8200
Phone: (208) 597-3553

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC-3664 (ID)

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Registry record

NPI: 1023288974
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2008
Record last updated: 4 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.