Healthcare Provider Details

I. General information

NPI: 1013392448
Provider Name (Legal Business Name): VALERIE WALL HODGSKISS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 CITRUS CIR STE 155
WALNUT CREEK CA
94598-2669
US

IV. Provider business mailing address

4419 SUGARLAND CT
CONCORD CA
94521-4308
US

V. Phone/Fax

Practice location:
  • Phone: 925-322-2641
  • Fax:
Mailing address:
  • Phone: 925-322-2641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: