Provider Demographics
NPI:1285179366
Name:GRIFFIN, VALARIE (LCDC)
Entity Type:Individual
Prefix:
First Name:VALARIE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 BROOK VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1620
Mailing Address - Country:US
Mailing Address - Phone:214-862-7371
Mailing Address - Fax:
Practice Address - Street 1:610 BROOK VALLEY LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1620
Practice Address - Country:US
Practice Address - Phone:214-862-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12896101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)