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ALEX VALENZUELA
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1528691235
Individual Registrant: ALEX VALENZUELA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
950 E MAIN ST BLDG B SOMERTON, AZ 85350-7409 US
Tel: 928-236-8001 Fax: 928-722-6113
Tel: 928-236-8001 Fax: 928-722-6113
Contact information for business:
PO BOX 617 SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001 Fax: 928-722-6113
Tel: 928-236-8001 Fax: 928-722-6113
Registration Information:
NPI: 1528691235
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | AZ | LCSW-18495 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 003357 | AZ | 05 |
