Provider Demographics
NPI:1518193622
Name:MEYERS, VALERIE D (LPCC)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:D
Last Name:MEYERS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 114
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-0114
Mailing Address - Country:US
Mailing Address - Phone:701-751-0384
Mailing Address - Fax:888-901-7234
Practice Address - Street 1:600 S 2ND ST
Practice Address - Street 2:STE 201
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5729
Practice Address - Country:US
Practice Address - Phone:701-751-0384
Practice Address - Fax:888-901-7234
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND565-11-1-06-183101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor