Provider Demographics
NPI:1932250354
Name:VALENT, MARY J (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:J
Last Name:VALENT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MRS
Other - First Name:JAYNE
Other - Middle Name:
Other - Last Name:VALENT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:19513 MISTY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-7456
Mailing Address - Country:US
Mailing Address - Phone:440-238-8879
Mailing Address - Fax:440-238-2327
Practice Address - Street 1:16600 W SPRAGUE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-6318
Practice Address - Country:US
Practice Address - Phone:440-891-1330
Practice Address - Fax:440-891-1380
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0000256101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000113368OtherANTHEM