Lisa Marie Zimmerman, LPC

NPI #1679170955 in Davis, Illinois

Provider Information

NPI Number: 1679170955
Entity Type: Individual
Name: Lisa Marie Zimmerman, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 16255 HARTMAN RD
City: Davis
State: Illinois
ZIP Code: 61019-9201
Phone: (815) 216-9772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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