Provider Demographics
NPI:1386067411
Name:GILLIES, VALERIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:GILLIES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 POST RD E
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-3410
Mailing Address - Country:US
Mailing Address - Phone:203-550-8080
Mailing Address - Fax:203-445-7088
Practice Address - Street 1:113 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-3410
Practice Address - Country:US
Practice Address - Phone:203-550-8080
Practice Address - Fax:203-445-7088
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-24
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001097106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist