Individual
DEBORAH VALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00143
RI
1041C0700X
Clinical Social Worker
Primary
ISW01009
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158131
VALUE OPTIONS
—
01
—
212611000
MAGELLAN
—
01
—
30309-1
BLUE CROSS
—
01
—
406298
BLUE CHIP
—
05
—
DV26989
—
RI
Enumeration date
02/27/2007
Last updated
01/05/2016
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