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Alexandra Zickermann
Mental Health Counselor in Blaine, Minnesota
NPI 1144974221

Alexandra Zickermann is a Mental Health Counselor based in Blaine, MN and is specialized in Mental Health. Alexandra Zickermann practices in Blaine, MN. The NPI Number for Alexandra Zickermann is 1144974221 and holds a License No. 3169 (Minnesota).

The current practice location address for Alexandra Zickermann is 9298 Central Ave Ne Ste 310, Blaine, MN and can be reached out via phone at 612-437-0636.

Location: 9298 Central Ave Ne Ste 310, Blaine, MN, 55434-4219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144974221
Provider Name
Alexandra Zickermann
Credential
Provider Entity Type
Individual
Gender
Female
Address
9298 Central Ave Ne Ste 310, Blaine, MN, 55434-4219
Phone Number
612-437-0636
Fax Number
Provider Enumeration Date
02/08/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3169 01 MN 3169
institution
Provider Business Practice Location Address Details
Address
9298 Central Ave Ne Ste 310
City
Blaine
State
Minnesota
Zip
55434-4219
Phone Number
612-437-0636
Fax Number
person
Provider Business Mailing Address Details
Address
9298 Central Ave Ne Ste 310
City
Blaine
State
Minnesota
Zip
55434-4219
Phone Number
612-437-0636
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3169 (Minnesota)
Definition
Definition to come...
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