Doctor Name: | MRS. ANGELITA E VALDEZ |
NPI Number: | 1053557926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | |
Business Practice Address: | 427 Seminole Rd Ste 200a Norton Shores, MI - 494443747 |
Business Phone Number: | 2313431360 |
Business Fax Number: | |
Mailing Address: | Po Box 1588, MUSKEGON |
State: | MI |
Postal Code: | 494431588 |
Phone Number: | 2313431360 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2008 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |