Provider Demographics
NPI:1881482073
Name:VALENZUELA, JOVANA
Entity type:Individual
Prefix:
First Name:JOVANA
Middle Name:
Last Name:VALENZUELA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6212 SINGLETREE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4282
Mailing Address - Country:US
Mailing Address - Phone:916-276-9058
Mailing Address - Fax:
Practice Address - Street 1:6212 SINGLETREE CT
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-4282
Practice Address - Country:US
Practice Address - Phone:916-276-9058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist