MEDICARE: LEXE ANDREA VALDIVIA

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	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255844361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEXE ANDREA VALDIVIA

Provider Business Mailing Address
First Line	:	360 NEVADA ST
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-3720
Country	:	US
Telephone Number	:	916-757-2912
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 NEVADA ST
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-3720
Country	:	US
Telephone Number	:	916-757-2912
Fax Number	:

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

Provider Enumeration Date	:	11/10/2017
Last Update Date	:	04/22/2024

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Directions to “ LEXE ANDREA VALDIVIA ” Practice Location

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