Provider Demographics
NPI:1629507249
Name:CONTRERAS, ZACIL HA (MFTC)
Entity Type:Individual
Prefix:
First Name:ZACIL
Middle Name:HA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 N MONUMENT CIR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-9821
Mailing Address - Country:US
Mailing Address - Phone:720-402-5419
Mailing Address - Fax:
Practice Address - Street 1:1465 N MONUMENT CIR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-9821
Practice Address - Country:US
Practice Address - Phone:720-402-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC0013636106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty