Provider Demographics
NPI:1467640854
Name:ZUBIATE, CHRISTOPHER LUIS (DHA, MSW)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LUIS
Last Name:ZUBIATE
Suffix:
Gender:M
Credentials:DHA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 JAMES WAY STE 280
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-2890
Mailing Address - Country:US
Mailing Address - Phone:805-242-0135
Mailing Address - Fax:
Practice Address - Street 1:310 JAMES WAY STE 250
Practice Address - Street 2:
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-2877
Practice Address - Country:US
Practice Address - Phone:805-242-0135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA329581041C0700X
CA153631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health