Provider Demographics
NPI:1104025360
Name:DEL VAL, JOSE I (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:I
Last Name:DEL VAL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 NORTH FRONT STREET
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:774-628-1033
Mailing Address - Fax:508-997-0765
Practice Address - Street 1:842 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-1500
Practice Address - Fax:508-994-0745
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health