Individual
TENITA MARIE VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 383-7509
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 345-1536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
RI
101YM0800X
Mental Health Counselor
Primary
MHC01052
RI
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/26/2017
Last updated
05/07/2024
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