Provider Demographics
NPI:1528432770
Name:LAPORTE, VALERIE (LICSW)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:LAPORTE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:992 BURTON ST
Mailing Address - Street 2:
Mailing Address - City:RED WING
Mailing Address - State:MN
Mailing Address - Zip Code:55066-3829
Mailing Address - Country:US
Mailing Address - Phone:218-590-0377
Mailing Address - Fax:
Practice Address - Street 1:992 BURTON ST
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-3829
Practice Address - Country:US
Practice Address - Phone:218-590-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health