Provider Demographics
NPI:1417189754
Name:ABLESER, EDWARD ZACHARY (LPC)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:ZACHARY
Last Name:ABLESER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10590 APPLE MILL CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4255
Mailing Address - Country:US
Mailing Address - Phone:480-343-1602
Mailing Address - Fax:
Practice Address - Street 1:10590 APPLE MILL CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4255
Practice Address - Country:US
Practice Address - Phone:480-343-1602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13294101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health