Provider Demographics
NPI:1215507025
Name:CARON ZANERIPPE, MAURIEN ELISE (LPC)
Entity type:Individual
Prefix:
First Name:MAURIEN
Middle Name:ELISE
Last Name:CARON ZANERIPPE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 FAIRDALE ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2374
Mailing Address - Country:US
Mailing Address - Phone:832-696-6119
Mailing Address - Fax:
Practice Address - Street 1:519 HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2521
Practice Address - Country:US
Practice Address - Phone:832-696-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79609101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional