Provider Demographics
NPI:1447903497
Name:ZIMMERMAN, GARNI SHIRLENE (LMFT)
Entity type:Individual
Prefix:
First Name:GARNI
Middle Name:SHIRLENE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:GARNI
Other - Middle Name:SHIRLENE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 VACA CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-9712
Mailing Address - Country:US
Mailing Address - Phone:925-784-8683
Mailing Address - Fax:
Practice Address - Street 1:120 VACA CREEK WAY
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-9712
Practice Address - Country:US
Practice Address - Phone:925-784-8683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98418106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist