Individual provider · Type 1 NPI
Kathy A. Zimmerman, LPC, LMHC
Professional Counselor · Portland, OR
NPI number
1861769473
Active
Practice location
4536 NE 116th Ave
Portland, OR 97220-1419
Mailing address
806 NE 197th Ave
Portland, OR 97230-7972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60224180 (WA) |
| Professional Counselor Primary | 101YP2500X | C2697 (OR) |
Professional Counselor: Definition to come...
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About NPI 1861769473
Kathy A. Zimmerman, LPC, LMHC's National Provider Identifier is 1861769473, issued on Nov 27, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Nov 27, 2011.