Provider Demographics
NPI:1255445797
Name:VALLERY, VON DAVID (LCSW)
Entity type:Individual
Prefix:
First Name:VON
Middle Name:DAVID
Last Name:VALLERY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALEXANDRIA COUNSELING
Mailing Address - Street 2:233 PECAN PARK AVE , SUITE D
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303
Mailing Address - Country:US
Mailing Address - Phone:318-704-6157
Mailing Address - Fax:381-704-6420
Practice Address - Street 1:ALEXANDRIA COUNSELING
Practice Address - Street 2:233 PECAN PARK AVE , SUITE D
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303
Practice Address - Country:US
Practice Address - Phone:318-704-6157
Practice Address - Fax:381-704-6420
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA41471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical