Individual
DR. MICHELLE VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5625
(920) 857-9041
(920) 857-3366
Mailing address
17101 SPRINGDALE ST APT 238, HUNTINGTON BEACH, CA 92649-4683
(714) 624-3435
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2017
Last updated
09/19/2025
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