Provider Demographics
NPI:1710093141
Name:MILSTEAD-BENABDALLAH, VALERIA ELIZABETH (LCSW, QCSW, DCSW)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:ELIZABETH
Last Name:MILSTEAD-BENABDALLAH
Suffix:
Gender:F
Credentials:LCSW, QCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1330 N CLASSEN BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73106-6835
Mailing Address - Country:US
Mailing Address - Phone:405-604-0180
Mailing Address - Fax:405-228-0181
Practice Address - Street 1:1330 N CLASSEN BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73106-6834
Practice Address - Country:US
Practice Address - Phone:405-604-0180
Practice Address - Fax:405-228-0181
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical