Provider Demographics
NPI:1184058356
Name:CADOO, VALORIE WATTERS (MFT)
Entity type:Individual
Prefix:
First Name:VALORIE
Middle Name:WATTERS
Last Name:CADOO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:ANSON
Mailing Address - State:TX
Mailing Address - Zip Code:79501-0333
Mailing Address - Country:US
Mailing Address - Phone:325-733-6065
Mailing Address - Fax:877-223-1547
Practice Address - Street 1:215 N AVENUE J
Practice Address - Street 2:
Practice Address - City:ANSON
Practice Address - State:TX
Practice Address - Zip Code:79501-2114
Practice Address - Country:US
Practice Address - Phone:325-733-6065
Practice Address - Fax:877-223-1547
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202040106H00000X
CAMFC37273106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist