Provider Demographics
NPI:1134244999
Name:CONTRERAS, ELIZABETH ANN (LMFT, LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 GATEWAY BLVD E STE 506
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2016
Mailing Address - Country:US
Mailing Address - Phone:915-772-2237
Mailing Address - Fax:915-772-2247
Practice Address - Street 1:6044 GATEWAY BLVD E STE 506
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2016
Practice Address - Country:US
Practice Address - Phone:915-772-2237
Practice Address - Fax:915-772-2247
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200869106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200869OtherTHERAPIST LICENSE NUMBER