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General NPI Number Information
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NPI Number | 1386431229
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Entity Type | Individual
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Provider Name | ANALIVIER VALENCIA-MARTINEZ LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 821 CHATTANOOGA AVE UNIT 1
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City | DALTON
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State | GA
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Zip | 30720-8806
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Country | US
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Telephone | 706-264-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 260 25TH ST NE APT 1324
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City | CLEVELAND
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State | TN
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Zip | 37311-3969
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Country | US
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Telephone | 520-440-8638
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7630
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License Number State | TN
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