Provider Demographics
NPI:1447075619
Name:ZAMARRIPA, JESUS PABLO (BA, CAS)
Entity type:Individual
Prefix:MR
First Name:JESUS
Middle Name:PABLO
Last Name:ZAMARRIPA
Suffix:
Gender:M
Credentials:BA, CAS
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Mailing Address - Street 1:725 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MONTE VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81144-1525
Mailing Address - Country:US
Mailing Address - Phone:719-849-9733
Mailing Address - Fax:
Practice Address - Street 1:2265 LAVA LN
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-3578
Practice Address - Country:US
Practice Address - Phone:719-589-5176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC.0021330101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)