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General NPI Number Information
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NPI Number | 1851131668
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Entity Type | Individual
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Provider Name | BETH GAELENE VALDEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 10105 E VIA LINDA STE 103-107
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5311
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Country | US
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Telephone | 480-679-8743
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5361
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City | CAREFREE
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State | AZ
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Zip | 85377-5361
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Country | US
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Telephone | 720-440-1457
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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 | LPC-23023
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License Number State | AZ
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