MEDICARE: VALERIE ANN SEWELL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1313	TX
2	101YP2500X	Professional Counselor	64107	TX

General Provider Information

NPI Number	:	1184939860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE ANN SEWELL LPC

Provider Business Mailing Address
First Line	:	3803 42ND ST
Second Line	:
City	:	SNYDER
State	:	TX
Zip	:	79549-5766
Country	:	US
Telephone Number	:	940-631-0239
Fax Number	:

Provider Business Practice Location Address
First Line	:	3106 S W S YOUNG DR STE B-202
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-2000
Country	:	US
Telephone Number	:	940-631-0239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	01/13/2022

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Directions to “ VALERIE ANN SEWELL LPC” Practice Location

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