Provider Demographics
NPI:1003119025
Name:BRONSTONE, VALORIE CAPRICE (LMHC)
Entity Type:Individual
Prefix:
First Name:VALORIE
Middle Name:CAPRICE
Last Name:BRONSTONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20181 NW 247TH ST
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-6903
Mailing Address - Country:US
Mailing Address - Phone:704-804-9384
Mailing Address - Fax:
Practice Address - Street 1:20181 NW 247TH ST
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-6903
Practice Address - Country:US
Practice Address - Phone:704-804-9384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4438101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional