Provider Demographics
NPI:1104046531
Name:LEYTON, VALERIE M (LCMHC)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:M
Last Name:LEYTON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:MARIE
Other - Last Name:LEYTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCMHC
Mailing Address - Street 1:505 WEST HOLLIS ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1387
Mailing Address - Country:US
Mailing Address - Phone:603-889-2843
Mailing Address - Fax:603-889-2803
Practice Address - Street 1:505 WEST HOLLIS ST
Practice Address - Street 2:SUITE 208
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1387
Practice Address - Country:US
Practice Address - Phone:603-889-2843
Practice Address - Fax:603-889-2803
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30423495Medicaid