Individual
MS. ELIZABETH HODUN ZEDARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1401 N CENTRAL EXPY, #375, RICHARDSON, TX 75080-4669
(214) 793-0158
(972) 644-7220
Mailing address
PO BOX 852051, RICHARDSON, TX 75085-2051
(972) 403-1359
(972) 403-1378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16554
TX
106H00000X
Marriage & Family Therapist
Primary
4811
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85226L
BCBS PROVIDER#
TX
Enumeration date
03/14/2007
Last updated
07/01/2009
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