Provider Demographics
NPI:1306155486
Name:CHU, VALERIE WAI MING (ATR-BC, LCAT, LPCC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:WAI MING
Last Name:CHU
Suffix:
Gender:F
Credentials:ATR-BC, LCAT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 S FAIR OAKS AVE
Mailing Address - Street 2:#554
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2656
Mailing Address - Country:US
Mailing Address - Phone:917-763-7357
Mailing Address - Fax:
Practice Address - Street 1:1510 OXLEY ST STE J
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-5748
Practice Address - Country:US
Practice Address - Phone:818-659-5971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001304-1221700000X
CALPCC3516101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist