Provider Demographics
NPI:1639372196
Name:VALENTINE, RACHEL ELLYN (MA)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ELLYN
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 DENVER PL SE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-2300
Mailing Address - Country:US
Mailing Address - Phone:712-707-9268
Mailing Address - Fax:
Practice Address - Street 1:123 ALBANY AVE SE
Practice Address - Street 2:SUITE 7
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-1715
Practice Address - Country:US
Practice Address - Phone:712-737-4831
Practice Address - Fax:712-737-4831
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor