Provider Demographics
NPI:1770939225
Name:TRAYNHAM, VALERIE (MS)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:TRAYNHAM
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:GOULD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1132 BEAUMONT AVE # 106
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-1819
Mailing Address - Country:US
Mailing Address - Phone:951-233-4499
Mailing Address - Fax:
Practice Address - Street 1:1132 BEAUMONT AVE # 106
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-1819
Practice Address - Country:US
Practice Address - Phone:951-233-4499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC5792101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional