Provider Demographics
NPI:1376103648
Name:VALVERDE, ALEXA ADAMO (MA, MS, LPC, LCMHCA)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:ADAMO
Last Name:VALVERDE
Suffix:
Gender:F
Credentials:MA, MS, LPC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5316 HIGHGATE DR STE 221
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6629
Mailing Address - Country:US
Mailing Address - Phone:919-205-3078
Mailing Address - Fax:919-797-9922
Practice Address - Street 1:5316 HIGHGATE DR STE 221
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6629
Practice Address - Country:US
Practice Address - Phone:919-576-0084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA16841OtherCLINICAL MENTAL HEALTH COUNSELING ASSOCIATE LICENSE
GALPC013588OtherPROFESSIONAL COUNSELOR LICENSE