Provider Demographics
NPI:1841997897
Name:ZARATE, ADRIANA CAROLINA (ACMHC)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:CAROLINA
Last Name:ZARATE
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:CAROLINA
Other - Last Name:GAFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACMHC
Mailing Address - Street 1:514 S 400 E APT D
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-2959
Mailing Address - Country:US
Mailing Address - Phone:208-270-5148
Mailing Address - Fax:
Practice Address - Street 1:1149 S 450 W
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-6707
Practice Address - Country:US
Practice Address - Phone:801-392-0942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12828460-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health