MEDICARE: DOUGLAS VALDEZ LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	LH70025191	WA

General Provider Information

NPI Number	:	1023760535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS VALDEZ LMHC

Provider Business Mailing Address
First Line	:	5941 CALIFORNIA AVE SW APT 103
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1665
Country	:	US
Telephone Number	:	504-342-7538
Fax Number	:

Provider Business Practice Location Address
First Line	:	5941 CALIFORNIA AVE SW APT 103
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1665
Country	:	US
Telephone Number	:	504-342-7538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	02/03/2026

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Directions to “ DOUGLAS VALDEZ LMHC” Practice Location

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