Provider Demographics
NPI:1578602140
Name:VALKINBURG, APRIL SUZANNE (MED, CRC, PC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:SUZANNE
Last Name:VALKINBURG
Suffix:
Gender:F
Credentials:MED, CRC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13705 MAYSVILLE WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-8971
Mailing Address - Country:US
Mailing Address - Phone:740-385-8942
Mailing Address - Fax:740-385-7594
Practice Address - Street 1:5555 GLENDON CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-3249
Practice Address - Country:US
Practice Address - Phone:740-385-5870
Practice Address - Fax:740-385-7594
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0008376101YM0800X
00056710225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor