Provider Demographics
NPI:1679035364
Name:VALRANCE, BREANNE ALINA (AAC)
Entity Type:Individual
Prefix:
First Name:BREANNE
Middle Name:ALINA
Last Name:VALRANCE
Suffix:
Gender:F
Credentials:AAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 NE 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-1945
Mailing Address - Country:US
Mailing Address - Phone:360-932-5430
Mailing Address - Fax:
Practice Address - Street 1:6601 NE 71ST AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-1945
Practice Address - Country:US
Practice Address - Phone:360-932-5430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health