Provider Demographics
NPI:1841766805
Name:BENSON, VALKYRIE LOUISA (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:VALKYRIE
Middle Name:LOUISA
Last Name:BENSON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:KYRIE
Other - Middle Name:
Other - Last Name:BENSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:418 CARPENTER RD SE STE 203
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-7905
Mailing Address - Country:US
Mailing Address - Phone:360-878-9526
Mailing Address - Fax:
Practice Address - Street 1:418 CARPENTER RD SE STE 203
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-7905
Practice Address - Country:US
Practice Address - Phone:360-878-9526
Practice Address - Fax:888-223-8248
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61373072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health