Provider Demographics
NPI:1285031526
Name:VALDEZ, JOE (CAADE-I-5027-R)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:CAADE-I-5027-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 MAHLER RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1604
Mailing Address - Country:US
Mailing Address - Phone:650-689-5597
Mailing Address - Fax:650-689-5697
Practice Address - Street 1:826 MAHLER RD
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1604
Practice Address - Country:US
Practice Address - Phone:650-689-5597
Practice Address - Fax:650-689-5697
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)