Provider Demographics
NPI:1508282229
Name:MUNSON, VALERIE (LMSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MUNSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:ELSESSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:710 E GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1820
Mailing Address - Country:US
Mailing Address - Phone:810-599-9591
Mailing Address - Fax:
Practice Address - Street 1:710 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1820
Practice Address - Country:US
Practice Address - Phone:810-599-9591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801096354104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker