Provider Demographics
NPI:1356799753
Name:VALERIUS, FELIXIA (MA, LPCC)
Entity type:Individual
Prefix:
First Name:FELIXIA
Middle Name:
Last Name:VALERIUS
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 COUNTY ROAD 42 W
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6913
Mailing Address - Country:US
Mailing Address - Phone:952-715-6451
Mailing Address - Fax:952-224-8991
Practice Address - Street 1:2100 COUNTY ROAD 42 W
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6913
Practice Address - Country:US
Practice Address - Phone:952-715-6451
Practice Address - Fax:952-224-8991
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health