| Doctor Name: | MARY JANE VALDEZ |
| NPI Number: | 1043446925 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC,CACIII,NCACII |
| License Number: | LPC-620 |
| Business Practice Address: | 811 Main St Alamosa, CO - 811012541 |
| Business Phone Number: | 7195892974 |
| Business Fax Number: | 7195892974 |
| Mailing Address: | 811 Main St, ALAMOSA |
| State: | CO |
| Postal Code: | 811012541 |
| Phone Number: | 7195892974 |
| Fax Number: | 7195892974 |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 06/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC-620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |