Provider Demographics
NPI:1508457284
Name:VALENZUELA, XOCHITL (LMSW)
Entity Type:Individual
Prefix:
First Name:XOCHITL
Middle Name:
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-5674
Mailing Address - Country:US
Mailing Address - Phone:806-662-7972
Mailing Address - Fax:
Practice Address - Street 1:1910 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5674
Practice Address - Country:US
Practice Address - Phone:806-662-7972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty