Provider Demographics
NPI:1447635669
Name:ZARATE, ELIZABETH (LCDC, QCC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ZARATE
Suffix:
Gender:F
Credentials:LCDC, QCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7722 NORTH LOOP
Mailing Address - Street 2:SUITE #5
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915
Mailing Address - Country:US
Mailing Address - Phone:915-782-4023
Mailing Address - Fax:
Practice Address - Street 1:7722 N LOOP DR
Practice Address - Street 2:SUITE #5
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-2907
Practice Address - Country:US
Practice Address - Phone:915-782-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12770101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)