Provider Demographics
NPI:1902632623
Name:GARNETT, ELIZABETH (CCRP, MA, AMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GARNETT
Suffix:
Gender:F
Credentials:CCRP, MA, AMFT
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:GARNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1263 WHISPERING PINES DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4628
Mailing Address - Country:US
Mailing Address - Phone:415-722-0070
Mailing Address - Fax:
Practice Address - Street 1:1406 MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4739
Practice Address - Country:US
Practice Address - Phone:408-462-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT149502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health