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General NPI Number Information
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NPI Number | 1013309350
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Entity Type | Individual
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Provider Name | PATRICIA VALENCIA MS. LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 777 W PUTNAM AVE STE 300
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City | GREENWICH
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State | CT
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Zip | 06830-5000
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Country | US
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Telephone | 347-692-0402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 220072
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City | GREAT NECK
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State | NY
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Zip | 11022-0072
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Country | US
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Telephone | 347-692-0402
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 010571
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8231
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License Number State | CT
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