Provider Demographics
NPI:1407394158
Name:FINK SIERRA, VALERIE (LISAC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:FINK SIERRA
Suffix:
Gender:F
Credentials:LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 W, UNION HILLS DRIVE, SUITE D 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308
Mailing Address - Country:US
Mailing Address - Phone:623-810-1663
Mailing Address - Fax:623-321-6862
Practice Address - Street 1:5940 W UNION HILLS DR STE D200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1360
Practice Address - Country:US
Practice Address - Phone:623-810-1663
Practice Address - Fax:623-321-6862
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC 15031101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)