Provider Demographics
NPI:1144394222
Name:VALERO, TERESA ALBERTA (LPC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ALBERTA
Last Name:VALERO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:
Other - Last Name:VALERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:4308 ARROYO DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-3605
Mailing Address - Country:US
Mailing Address - Phone:432-967-2330
Mailing Address - Fax:
Practice Address - Street 1:1031 ANDREWS HWY
Practice Address - Street 2:STE. #306
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-3805
Practice Address - Country:US
Practice Address - Phone:432-967-2330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15819101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional