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1013661123 NPI number — VICENTA DEL CARMEN VALERO-JAROZEWSKI LPCC, LADC

NPI Number: 1013661123
Health Care Provider/Practitioner: VICENTA DEL CARMEN VALERO-JAROZEWSKI LPCC, LADC

Information about “1013661123” NPI (VICENTA DEL CARMEN VALERO-JAROZEWSKI LPCC, LADC) exists in 1013661123 in HTML format HTML  |  1013661123 in plain Text format TXT  |  1013661123 in PDF (Portable Document Format) PDF  |  1013661123 in an XML format XML  formats.

NPI Number : 1013661123 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013661123",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VALERO-JAROZEWSKI",
    "FirstName": "VICENTA",
    "MiddleName": "DEL CARMEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LPCC, LADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUUD",
    "OtherFirstName": "CRISTINA",
    "OtherMiddleName": "VICENTA",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "871 JEFFERSON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PAUL",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55102-2506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "651-252-1175",
    "MailingAddressFaxNumber": "855-202-4001",
    "FirstLinePracticeLocationAddress": "871 JEFFERSON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PAUL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55102-2506",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "651-252-1175",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2022",
    "LastUpdateDate": "03/28/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "305601",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "CC03180",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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