Provider Demographics
NPI:1154670529
Name:MASON, ELIZABETH ARALUCE (LICENSED MARRIAGE &)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ARALUCE
Last Name:MASON
Suffix:
Gender:F
Credentials:LICENSED MARRIAGE &
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:ARALUCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30 WINCHESTER CANYON ROAD
Mailing Address - Street 2:SPACE #9
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1971
Mailing Address - Country:US
Mailing Address - Phone:805-685-5156
Mailing Address - Fax:
Practice Address - Street 1:5276 HOLLISTER AVENUE
Practice Address - Street 2:SUITE NUMBER: 301
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2071
Practice Address - Country:US
Practice Address - Phone:805-685-5156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC49380106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist