Healthcare Provider Details

I. General information

NPI: 1477251817
Provider Name (Legal Business Name): DON ZABLOSKY, LPC, LMFT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SAN FRANCISCO ST UNIT 1424
RANCHOS DE TAOS NM
87557-4057
US

IV. Provider business mailing address

PO BOX 1424
RANCHOS DE TAOS NM
87557-1424
US

V. Phone/Fax

Practice location:
  • Phone: 469-855-9107
  • Fax: 469-533-5979
Mailing address:
  • Phone: 469-855-9107
  • Fax: 469-533-5979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DON ZABLOSKY
Title or Position: OWNER
Credential: LPC, LMFT
Phone: 469-855-9107