Healthcare Provider Details

I. General information

NPI: 1134314610
Provider Name (Legal Business Name): BEATRIZ CAROLINA VALENZUELA CABRERA MFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18217 HALE AVE
MORGAN HILL CA
95037-3550
US

IV. Provider business mailing address

18217 HALE AVE
MORGAN HILL CA
95037-3550
US

V. Phone/Fax

Practice location:
  • Phone: 408-465-8280
  • Fax: 408-465-8281
Mailing address:
  • Phone: 408-465-8280
  • Fax: 408-465-8281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number56979
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: