Provider Demographics
NPI:1699459586
Name:TAMEZ, VALERIE ANN (MA, LPC-A, LCDCI)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:TAMEZ
Suffix:
Gender:F
Credentials:MA, LPC-A, LCDCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5312 APACHE CREEK CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-6517
Mailing Address - Country:US
Mailing Address - Phone:512-788-8027
Mailing Address - Fax:
Practice Address - Street 1:5312 APACHE CREEK CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6517
Practice Address - Country:US
Practice Address - Phone:512-788-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57434101YA0400X
TX91625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)