| Organization Name: | SLV FAMILY & ADDICTIONS COUNSELING |
| NPI Number: | 1053478271 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY JANE VALDEZ (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 811 Main St Alamosa |
| State: | CO US |
| Postal Code: | 811012541 |
| Phone Number: | 7195892974 |
| Fax Number: | 7195892974 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1446 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |