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NPI Code Detail

MEDICARE: NATALIA VALDEZ

MEDICARE:   NATALIA  VALDEZ
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
1101YM0800XMental Health Counselor
2175T00000XPeer Specialist

General Provider Information

NPI Number : 1376261388
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIA VALDEZ
Provider Business Mailing Address
First Line : PO BOX 1444
Second Line :
City : RANCHOS DE TAOS
State : NM
Zip : 87557-1444
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 BERTHA RD STE B
Second Line :
City : TAOS
State : NM
Zip : 87571-7148
Country : US
Telephone Number : 575-758-4297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 06/04/2026

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Directions to “ NATALIA VALDEZ ” Practice Location

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