Individual
MS. VALERIE K REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,IMFT,ICADC, CSAC
Contact information
Practice address
1244 N MARINE CORPS DR, SUITE 101, TAMUNING, GU 96913-4308
(671) 647-8262
Mailing address
PO BOX 2653, HAGATNA, GU 96932-2653
(671) 727-8533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
115269
GU
106H00000X
Marriage & Family Therapist
Primary
IMFT-0014
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1228074070
GDL
GU
01
—
201001568
GUAM BUSINESS LICENSE
GU
Enumeration date
12/16/2011
Last updated
07/13/2014
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