Provider Demographics
NPI:1346675139
Name:VALORIE CADOO MA MFT PLLC
Entity Type:Organization
Organization Name:VALORIE CADOO MA MFT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALORIE
Authorized Official - Middle Name:WATTERS
Authorized Official - Last Name:CADOO
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:325-733-6065
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:ANSON
Mailing Address - State:TX
Mailing Address - Zip Code:79501-0333
Mailing Address - Country:US
Mailing Address - Phone:325-733-6065
Mailing Address - Fax:
Practice Address - Street 1:215 N AVENUE J
Practice Address - Street 2:
Practice Address - City:ANSON
Practice Address - State:TX
Practice Address - Zip Code:79501-2114
Practice Address - Country:US
Practice Address - Phone:325-733-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202040106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty