Provider Demographics
NPI:1164724175
Name:ZONE, ELLEN MARY (DD, LMFT, MSW, MA)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:MARY
Last Name:ZONE
Suffix:
Gender:F
Credentials:DD, LMFT, MSW, MA
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:MARY
Other - Last Name:ZONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:TDD, LMFT, MSW, MA
Mailing Address - Street 1:155 ROSEBAY DR
Mailing Address - Street 2:UNIT 22
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3333
Mailing Address - Country:US
Mailing Address - Phone:760-805-6731
Mailing Address - Fax:
Practice Address - Street 1:155 ROSEBAY DR
Practice Address - Street 2:UNIT 22
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3333
Practice Address - Country:US
Practice Address - Phone:760-805-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 15042106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist