Provider Demographics
NPI:1124762836
Name:PENA, VALERIE JADINE (LPC)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:JADINE
Last Name:PENA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7125 N MILE 4 1/2 W
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78599-5342
Mailing Address - Country:US
Mailing Address - Phone:956-376-4553
Mailing Address - Fax:
Practice Address - Street 1:7125 N MILE 4 1/2 W
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-5342
Practice Address - Country:US
Practice Address - Phone:956-376-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health