Provider Demographics
NPI:1598486375
Name:ITUARTE VALENZUELA, DOLORES ANNETTE (LPC)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:ANNETTE
Last Name:ITUARTE VALENZUELA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6731 CAMINO FUENTE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2409
Mailing Address - Country:US
Mailing Address - Phone:915-309-3622
Mailing Address - Fax:
Practice Address - Street 1:250 THUNDERBIRD DR STE 5
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3915
Practice Address - Country:US
Practice Address - Phone:915-307-7598
Practice Address - Fax:915-975-8223
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-08
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional