| Mj Zimmerman Lpcc | |
|
4916 4th St Nw Albuquerque NM 87107-3949 | |
| (505) 573-2339 | |
| Not Available |
| Full Name | Mj Zimmerman Lpcc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4916 4th St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mary Jane Zimmerman (SOLE MEMBER) |
| Authorized Official Contact | 5055732339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mj Zimmerman Lpcc 4808 Teodocio St Nw Albuquerque NM 87107-3359 Ph: (505) 573-2339 | Mj Zimmerman Lpcc 4916 4th St Nw Albuquerque NM 87107-3949 Ph: (505) 573-2339 |
| NPI Number | 1013421619 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013421619 | NPI | - | NPPES |
| 15883086 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0188201 (New Mexico) | Primary |
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