Provider Demographics
NPI:1033214119
Name:VALLIERE, DONALD DEAN JR (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:DEAN
Last Name:VALLIERE
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:DONNY
Other - Middle Name:
Other - Last Name:VALLIERE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:894 MEINECKE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405
Mailing Address - Country:US
Mailing Address - Phone:805-783-2323
Mailing Address - Fax:805-783-2114
Practice Address - Street 1:894 MEINECKE
Practice Address - Street 2:SUITE D
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405
Practice Address - Country:US
Practice Address - Phone:805-783-2323
Practice Address - Fax:805-783-2114
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23245106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist