Provider Demographics
NPI:1912690819
Name:VENTURA LPC, VALERIE ANN (MS/ LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:VENTURA LPC
Suffix:
Gender:F
Credentials:MS/ LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-2709
Mailing Address - Country:US
Mailing Address - Phone:862-201-9574
Mailing Address - Fax:
Practice Address - Street 1:1050 WALL ST W STE 310
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3615
Practice Address - Country:US
Practice Address - Phone:732-982-2888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00895600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional