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NPI Code Detail

MEDICARE: ANGELIQUE ZIMCOSKY

MEDICARE: ANGELIQUE ZIMCOSKY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor5367TN

General Provider Information

NPI Number : 1831630417
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIQUE ZIMCOSKY
Provider Business Mailing Address
First Line : 201 W SPRINGDALE AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5158
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 408 N CEDAR BLUFF RD STE 305
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3648
Country : US
Telephone Number : 865-888-5818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2017
Last Update Date : 12/27/2021

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Directions to “ ANGELIQUE ZIMCOSKY ” Practice Location

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