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Organization
VALENTINE CENTER FOR FAMILY THERAPY
Active
Organization
VALENTINE CENTER FOR FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA ANN VALENTINE MA, MFTC, LAC (OWNER)
(719) 992-4260
Entity
Organization
Contact information
Practice address
401 MAIN STREET, LA JARA, CO 81140
(719) 992-4260
Mailing address
14385 COUNTY ROAD P, LA JARA, CO 81140-9584
(719) 992-4260
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
ACD.0000672
CO
106H00000X
Marriage & Family Therapist
Primary
MFTC.0013492
CO
Other
Enumeration date
08/28/2016
Last updated
10/10/2016
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