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General NPI Number Information
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NPI Number | 1902333172
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Entity Type | Individual
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Provider Name | JOSE ALBERTO VALENTIN PHD, LPC, LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 420 SOMERS RD UNIT 2A
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City | ELLINGTON
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State | CT
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Zip | 06029-2629
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Country | US
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Telephone | 203-648-1054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | ELLINGTON
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State | CT
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Zip | 06029-0083
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Country | US
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Telephone | 203-648-1054
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LMHC10004283
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | TAC-III-05-20-4196
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5162
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10004283
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | TCC-I-05-20-4196
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5162
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LMHC10004283
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5162
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License Number State | CT
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