Individual
TAMERA ANN VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTC
Contact information
Practice address
401 MAIN STREET, LA JARA, CO 81140-9584
(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
MFT.0001353
CO
Other
Enumeration date
08/28/2015
Last updated
10/17/2016
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