Provider Demographics
NPI:1942475801
Name:SCHUBERT, ELIZABETH JITSUKO
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JITSUKO
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 E 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-1325
Mailing Address - Country:US
Mailing Address - Phone:303-853-3599
Mailing Address - Fax:
Practice Address - Street 1:5831 E 74TH AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1325
Practice Address - Country:US
Practice Address - Phone:303-853-3599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health