Provider Demographics
NPI:1376072058
Name:VALDES, ARIEL L (MASTER OF SCIENCE)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:L
Last Name:VALDES
Suffix:
Gender:M
Credentials:MASTER OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:682 HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5032
Mailing Address - Country:US
Mailing Address - Phone:786-619-5255
Mailing Address - Fax:
Practice Address - Street 1:18503 PINES BLVD STE 308
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1406
Practice Address - Country:US
Practice Address - Phone:954-239-8959
Practice Address - Fax:954-391-7602
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2017-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health