Provider Demographics
NPI:1316954233
Name:SALAZAR-YOUNG, ELIZABETH (MED LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SALAZAR-YOUNG
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 VISCOUNT BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-4828
Mailing Address - Country:US
Mailing Address - Phone:915-592-3287
Mailing Address - Fax:915-594-8415
Practice Address - Street 1:7400 VISCOUNT BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-4828
Practice Address - Country:US
Practice Address - Phone:915-592-3287
Practice Address - Fax:915-594-8415
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX259511OtherBC AND BS OF TEXAS
TX5710510OtherAETNA
TX241097OtherVALUE OPTIONS