Provider Demographics
NPI:1366728842
Name:RICE, VALARIE YVONNE (MFC 45232)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:YVONNE
Last Name:RICE
Suffix:
Gender:F
Credentials:MFC 45232
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 APPIAN WAY
Mailing Address - Street 2:A-3
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94567
Mailing Address - Country:US
Mailing Address - Phone:510-387-1704
Mailing Address - Fax:
Practice Address - Street 1:2643 APPIAN WAY
Practice Address - Street 2:A-3
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2263
Practice Address - Country:US
Practice Address - Phone:510-387-1704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45232106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist