Provider Demographics
NPI:1003555053
Name:LOCKE, VALERIE (MA,LPC,CBIS)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:LOCKE
Suffix:
Gender:F
Credentials:MA,LPC,CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 DOESKIN DR
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-8970
Mailing Address - Country:US
Mailing Address - Phone:210-365-3787
Mailing Address - Fax:
Practice Address - Street 1:238 DOESKIN DR
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-8970
Practice Address - Country:US
Practice Address - Phone:210-365-3787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13723101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional