Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Zimmerman-Childress, 301385

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1861849507

Stephanie Zimmerman-Childress, 301385 is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3428 5th Ave S
Minneapolis, MN 55408-4529
Phone: (612) 250-5936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3517 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 301385 (MN)

Record details

NPI number1861849507
Entity typeIndividual (Type 1)
GenderFemale
Credentials 301385
Sole proprietorYes
NPI enumeratedMay 23, 2016
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

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