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Individual
KAITLYN NICOLE VALDEZ
Active
Individual
KAITLYN NICOLE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMF91026
CA
101YM0800X
Mental Health Counselor
PCC12571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144621897
—
CA
Enumeration date
09/12/2014
Last updated
01/12/2016
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