| Doctor Name: | BETHYE ANN VALENZUELA |
| NPI Number: | 1013966084 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C., M.A.C. |
| License Number: | 2001029224 |
| Business Practice Address: | 9300 Dewitt Loop Warrior Pavilion Fort Belvoir, VA - 220605285 |
| Business Phone Number: | 7035971562 |
| Business Fax Number: | 7038050049 |
| Mailing Address: | 9300 Dewitt Loop, Warrior Pavilion FORT BELVOIR |
| State: | VA |
| Postal Code: | 220605285 |
| Phone Number: | 7035971562 |
| Fax Number: | 7038050049 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 06/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2001029224 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |