Provider Demographics
NPI:1891076717
Name:RUDDEN, VALERIE (LIMHP, LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:RUDDEN
Suffix:
Gender:F
Credentials:LIMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9351 GRANT ST
Mailing Address - Street 2:SUITE 480
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4358
Mailing Address - Country:US
Mailing Address - Phone:303-482-6687
Mailing Address - Fax:303-583-9087
Practice Address - Street 1:9351 GRANT ST
Practice Address - Street 2:SUITE 480
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4358
Practice Address - Country:US
Practice Address - Phone:303-482-6687
Practice Address - Fax:303-583-9087
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6090101YM0800X
NE3963101YM0800X
NE1961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health