Valles, Jacquelyn

Valles, Jacquelyn is an individual health care provider with primary practice located at 6305 Woodman Ave , Van Nuys CA 91401-2346. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Valles, Jacquelyn can be contacted via phone (818) 908-4999.

Contact Information

Primary practice address
6305 Woodman Ave Van Nuys CA 91401-2346
Phone: (818) 908-4999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW93889 California

Profile Details

NPI number 1912336827
LBN Legal business name Valles, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2013
Last updated Oct 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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