Provider Demographics
NPI:1336849116
Name:NELSON, VALERIE RAE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:RAE
Last Name:NELSON
Suffix:
Gender:F
Credentials:LPC
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 917
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:TX
Mailing Address - Zip Code:78594-0917
Mailing Address - Country:US
Mailing Address - Phone:956-746-6258
Mailing Address - Fax:
Practice Address - Street 1:3626 MARTIN CAVAZOS ST.
Practice Address - Street 2:353
Practice Address - City:SEBASTIAN
Practice Address - State:TX
Practice Address - Zip Code:78594-0917
Practice Address - Country:US
Practice Address - Phone:956-746-6258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74435101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health