Healthcare Provider Details

I. General information

NPI: 1073440483
Provider Name (Legal Business Name): VALENTINA SALAZAR HURTADO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 MARTIN LUTHER KING JR WAY
BERKELEY CA
94704-3238
US

IV. Provider business mailing address

1708 PARKER ST
BERKELEY CA
94703-1918
US

V. Phone/Fax

Practice location:
  • Phone: 415-302-0731
  • Fax:
Mailing address:
  • Phone: 415-302-0731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: