Provider Demographics
NPI:1841052685
Name:VALENZUELA, ANABEL
Entity type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W GETTYSBURG AVE APT 110A
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-4204
Mailing Address - Country:US
Mailing Address - Phone:559-722-1522
Mailing Address - Fax:
Practice Address - Street 1:400 W GETTYSBURG AVE APT 110A
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-4204
Practice Address - Country:US
Practice Address - Phone:559-722-1522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)