Provider Demographics
NPI:1043935646
Name:NOLDER, VALERIE LYNN (LPC, MFT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNN
Last Name:NOLDER
Suffix:
Gender:F
Credentials:LPC, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIUM
Mailing Address - State:PA
Mailing Address - Zip Code:15834-1444
Mailing Address - Country:US
Mailing Address - Phone:970-403-4916
Mailing Address - Fax:814-486-2442
Practice Address - Street 1:28 E 3RD ST
Practice Address - Street 2:
Practice Address - City:EMPORIUM
Practice Address - State:PA
Practice Address - Zip Code:15834-1406
Practice Address - Country:US
Practice Address - Phone:814-486-0217
Practice Address - Fax:814-486-2442
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional