Provider Demographics
NPI:1730864612
Name:ZIMMERMAN, LAURA (LPCC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:OKONEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:451 LEXINGTON PKWY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4636
Mailing Address - Country:US
Mailing Address - Phone:612-710-1218
Mailing Address - Fax:
Practice Address - Street 1:451 LEXINGTON PKWY N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4636
Practice Address - Country:US
Practice Address - Phone:651-280-2000
Practice Address - Fax:651-280-3995
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC03869101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional