TY W ZIMMER

EUREKA, CA
NPI1770243917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-12-29
Last Update Date2021-12-29
Business Address
TY W ZIMMER
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
Mailing Address
TY W ZIMMER
700 SEA AVE SPC 23
EUREKA, CA 95503-5968
Phone number: 707-502-0075