Doctor Name: | MR. RAFAEL ARMANDO VALADEZ |
NPI Number: | 1164668554 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.S.W. |
License Number: | 149002749 |
Business Practice Address: | 245 S Gary Ave Suite 201 Bloomingdale, IL - 601082228 |
Business Phone Number: | 6308935230 |
Business Fax Number: | 6308935837 |
Mailing Address: | 738 S Cuyler Ave, OAK PARK |
State: | IL |
Postal Code: | 603041506 |
Phone Number: | 3122824057 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2009 |
NPI Last Update Date: | 01/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149002749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |