Individual provider · Type 1 NPI
Lisa Marie Zimmerman, LPC
Professional Counselor · Davis, IL
NPI number
1679170955
Active
Practice location
16255 Hartman Rd
Davis, IL 61019-9201
Mailing address
7080 Mill Rd
Rockford, IL 61108-2623
Other practice locations
- 12570 Dorr Rd, Rockton, IL 61072-2839 · (815) 216-9772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.016378 (IL) |
Professional Counselor: Definition to come...
4 other providers at this address
About NPI 1679170955
Lisa Marie Zimmerman, LPC's National Provider Identifier is 1679170955, issued on Oct 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Davis, IL. The record was last updated on Oct 8, 2020.