Provider Demographics
NPI:1679811806
Name:VALENCIA, CATHERINE (LMHC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:VALENCIA
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 1:2006 MADISON AVENUE
Mailing Address - Street 2:1ST FLOOR SUITE 122
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035
Mailing Address - Country:US
Mailing Address - Phone:786-348-4236
Mailing Address - Fax:
Practice Address - Street 1:2006 MADISON AVE
Practice Address - Street 2:1ST FLOOR SUITE 122
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1217
Practice Address - Country:US
Practice Address - Phone:786-348-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13181101YM0800X
NY007248-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health