Provider Demographics
NPI:1366523466
Name:VALDEZ, LUIS LOU (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:LOU
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 BLANCO RD
Mailing Address - Street 2:SUITE 157
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6152
Mailing Address - Country:US
Mailing Address - Phone:210-525-0202
Mailing Address - Fax:210-525-0232
Practice Address - Street 1:6609 BLANCO RD
Practice Address - Street 2:SUITE 157
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6152
Practice Address - Country:US
Practice Address - Phone:210-525-0202
Practice Address - Fax:210-525-0232
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60956101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health