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NPI Code Detail

MEDICARE: JEANINE VALLATINI

MEDICARE:   JEANINE  VALLATINI
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
1101YP2500XProfessional Counselor83920TX

General Provider Information

NPI Number : 1609654508
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANINE VALLATINI
Provider Business Mailing Address
First Line : 17830 BLACK ALDER LN
Second Line :
City : SPRING
State : TX
Zip : 77379-1553
Country : US
Telephone Number : 832-659-3398
Fax Number :
Provider Business Practice Location Address
First Line : 8900 EASTLOCH DR STE 300
Second Line :
City : SPRING
State : TX
Zip : 77379-2341
Country : US
Telephone Number : 346-314-0022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2023
Last Update Date : 09/20/2023

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Directions to “ JEANINE VALLATINI ” Practice Location

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