Provider Demographics
NPI:1972257632
Name:VALENZUELA, BELINDA (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 N BANKS ST
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:TX
Mailing Address - Zip Code:77836-1320
Mailing Address - Country:US
Mailing Address - Phone:979-422-3079
Mailing Address - Fax:
Practice Address - Street 1:117 ROYAL ST
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77801-4432
Practice Address - Country:US
Practice Address - Phone:979-777-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84107101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty