Provider Demographics
NPI:1528238060
Name:ROCKWELL, VALERY (CCMHC, LMHC)
Entity type:Individual
Prefix:MS
First Name:VALERY
Middle Name:
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:CCMHC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 HANCOCK ST
Mailing Address - Street 2:58 HANCOCK STREET
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3421
Mailing Address - Country:US
Mailing Address - Phone:617-763-4943
Mailing Address - Fax:781-862-1580
Practice Address - Street 1:58 HANCOCK ST
Practice Address - Street 2:58 HANCOCK STREET
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-3421
Practice Address - Country:US
Practice Address - Phone:617-763-4943
Practice Address - Fax:781-862-1580
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health