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General NPI Number Information
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NPI Number | 1013966084
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Entity Type | Individual
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Provider Name | BETHYE ANN VALENZUELA L.P.C., M.A.C.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP WARRIOR PAVILION
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 703-597-1562
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Fax | 703-805-0049
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Provider Business Mailing Address
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Address Line | 2829 EMIL CT
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City | WOODBRIDGE
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State | VA
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Zip | 22191-4274
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Country | US
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Telephone | 703-597-1562
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Fax | 703-597-1562
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 014427
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License Number State | VA
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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 | 2001029224
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2001029224
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701004133
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License Number State | VA
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