Provider Demographics
NPI:1730623554
Name:ZIMMERMAN, AUBREE SARA (CSAC-R)
Entity type:Individual
Prefix:
First Name:AUBREE
Middle Name:SARA
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:CSAC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3290 LYNN RIDGE DR
Mailing Address - Street 2:APT 1F
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-8947
Mailing Address - Country:US
Mailing Address - Phone:919-833-8899
Mailing Address - Fax:
Practice Address - Street 1:3290 LYNN RIDGE DR
Practice Address - Street 2:APT 1F
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-8947
Practice Address - Country:US
Practice Address - Phone:919-833-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)