Doctor Name: | VALERIE PALENCAR |
NPI Number: | 1558706762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC005205 |
Business Practice Address: | 5300 Kidspeace Dr Orefield, PA - 180692044 |
Business Phone Number: | 9178216645 |
Business Fax Number: | |
Mailing Address: | 270 Sparta Ave Ste 104, SPARTA |
State: | NJ |
Postal Code: | 078711122 |
Phone Number: | 9178216645 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2013 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |