Provider Demographics
NPI:1235635434
Name:VALENTA, RENE
Entity Type:Individual
Prefix:MR
First Name:RENE
Middle Name:
Last Name:VALENTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1347 SAINT PAUL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2546
Mailing Address - Country:US
Mailing Address - Phone:720-940-6651
Mailing Address - Fax:
Practice Address - Street 1:1347 SAINT PAUL ST APT 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2546
Practice Address - Country:US
Practice Address - Phone:720-940-6651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health