# VALENTINE CENTER FOR FAMILY THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992251243
- **Authorized official:** TAMERA ANN VALENTINE MA, MFTC, LAC (OWNER)
- **Authorized official phone:** (719) 992-4260

## Contact information

- **Practice address:** 401 MAIN STREET, LA JARA, CO 81140
- **Practice address phone:** (719) 992-4260
- **Mailing address:** 14385 COUNTY ROAD P, LA JARA, CO 81140-9584
- **Mailing address phone:** (719) 992-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | ACD.0000672 | CO | — |
| 106H00000X | Marriage & Family Therapist | MFTC.0013492 | CO | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 10/10/2016