Provider Demographics
NPI:1851131668
Name:VALDEZ, BETH GAELENE (LPC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:GAELENE
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5361
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-5361
Mailing Address - Country:US
Mailing Address - Phone:720-440-1457
Mailing Address - Fax:
Practice Address - Street 1:10105 E VIA LINDA STE 103-107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5311
Practice Address - Country:US
Practice Address - Phone:480-679-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23023101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health