Provider Demographics
NPI:1164845335
Name:VALDES, BRITTNEY A
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:A
Last Name:VALDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:A
Other - Last Name:POWER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMFT, PPSC,
Mailing Address - Street 1:8316 RED OAK ST
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3892
Mailing Address - Country:US
Mailing Address - Phone:909-989-3930
Mailing Address - Fax:
Practice Address - Street 1:8316 RED OAK ST
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3892
Practice Address - Country:US
Practice Address - Phone:909-989-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-23
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA107462101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program