Provider Demographics
NPI:1245048982
Name:MCFARLIN, VALERIE (LAC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 W THUNDERBIRD RD STE F640
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4691
Mailing Address - Country:US
Mailing Address - Phone:480-300-6065
Mailing Address - Fax:
Practice Address - Street 1:5750 W THUNDERBIRD RD STE F640
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4691
Practice Address - Country:US
Practice Address - Phone:480-300-6065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZEIN4766876101YS0200X
AZLAC20385101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty