Individual
DR. SANDRA IRENE VALENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.,LADC, LPC, CCS
Contact information
Practice address
51 SHERMAN HILL RD, SUITE A-202, WOODBURY, CT 06798-3648
(203) 586-1488
(203) 586-1488
Mailing address
41 COUNTRY HOLLOW RD, NAUGATUCK, CT 06770-3191
(203) 232-0515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000722
CT
101YM0800X
Mental Health Counselor
001627
CT
101YP2500X
Professional Counselor
001627
CT
103TC1900X
Counseling Psychologist
001627
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004257954
HUSKY PROVIDER NUMBER
CT
01
—
300000722CT01
ANTHEM BS BS PROVIDER NUM
CT
Enumeration date
04/12/2007
Last updated
05/11/2016
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