Provider Demographics
NPI:1689937369
Name:BAMFORD, VALERIE L (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:L
Last Name:BAMFORD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:GOGUEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 CENTRAL ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949
Mailing Address - Country:US
Mailing Address - Phone:781-406-4141
Mailing Address - Fax:978-664-1246
Practice Address - Street 1:1 CENTRAL ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MIDDLETON
Practice Address - State:MA
Practice Address - Zip Code:01949
Practice Address - Country:US
Practice Address - Phone:781-406-4141
Practice Address - Fax:978-664-1246
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor