Healthcare Provider Details

I. General information

NPI: 1740285725
Provider Name (Legal Business Name): DON C ZABLOSKY LPC-S, LMFT-S, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 PASEO DEL PUEBLO SUR STE D
TAOS NM
87571-5998
US

IV. Provider business mailing address

710 PASEO DEL PUEBLO SUR STE D
TAOS NM
87571-5998
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 TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18541
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number5226
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberCTB-2024-0078
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: