Provider Demographics
NPI:1558419614
Name:HAYWARD, VALENTINA G (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:VALENTINA
Middle Name:G
Last Name:HAYWARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 HOOTERVILLE LANE
Mailing Address - Street 2:P.O. BOX 216
Mailing Address - City:LOPEZ ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98261-0216
Mailing Address - Country:US
Mailing Address - Phone:360-468-3999
Mailing Address - Fax:360-468-3611
Practice Address - Street 1:733 HOOTERVILLE LANE
Practice Address - Street 2:
Practice Address - City:LOPEZ ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98261-0216
Practice Address - Country:US
Practice Address - Phone:360-468-3999
Practice Address - Fax:360-468-3611
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008635101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health