Provider Demographics
NPI:1740285725
Name:ZABLOSKY, DON C (LPC-S, LMFT-S, NCC)
Entity type:Individual
Prefix:MR
First Name:DON
Middle Name:C
Last Name:ZABLOSKY
Suffix:
Gender:M
Credentials:LPC-S, LMFT-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 PASEO DEL PUEBLO SUR STE D
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-5998
Mailing Address - Country:US
Mailing Address - Phone:469-855-9107
Mailing Address - Fax:469-533-5979
Practice Address - Street 1:710 PASEO DEL PUEBLO SUR STE D
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-5998
Practice Address - Country:US
Practice Address - Phone:469-855-9107
Practice Address - Fax:469-533-5979
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18541101YP2500X
TX5226106H00000X
NMCTB-2024-0078106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1618415Medicaid