Individual
LIDA VALENCIA, PSR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Mailing address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
TCTL0211691
NM
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
09/14/2023
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