Provider Demographics
NPI:1508203860
Name:DOUNVEOR, VALDA JEAN (MFTI)
Entity Type:Individual
Prefix:MS
First Name:VALDA
Middle Name:JEAN
Last Name:DOUNVEOR
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SAN LEANDRO BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-1598
Mailing Address - Country:US
Mailing Address - Phone:510-725-2967
Mailing Address - Fax:
Practice Address - Street 1:1926 E 19TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-4126
Practice Address - Country:US
Practice Address - Phone:510-879-2120
Practice Address - Fax:510-351-1367
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health