Provider Demographics
NPI:1144651167
Name:ANABLE, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:ANABLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1784
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85702-1784
Mailing Address - Country:US
Mailing Address - Phone:520-261-5815
Mailing Address - Fax:
Practice Address - Street 1:4280 N CAMPBELL AVE
Practice Address - Street 2:SUITE 226
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6585
Practice Address - Country:US
Practice Address - Phone:520-261-5815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-01
Last Update Date:2013-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 14419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health