Provider Demographics
NPI:1902010333
Name:ZIMMERMAN, DAWN M (LPC)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8925 LEESBURG PIKE
Mailing Address - Street 2:COUNSELING CENTER -- 3RD FLOOR
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-1742
Mailing Address - Country:US
Mailing Address - Phone:703-770-8645
Mailing Address - Fax:703-770-3836
Practice Address - Street 1:8925 LEESBURG PIKE
Practice Address - Street 2:COUNSELING CENTER -- 3RD FLOOR
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-1742
Practice Address - Country:US
Practice Address - Phone:703-770-8645
Practice Address - Fax:703-770-3836
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002942101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional