Individual
ANA LILIA VALENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 EDGEWARE RD, WINSTON SALEM, NC 27106-2214
(336) 422-2027
Mailing address
4190 EDGEWARE RD, WINSTON SALEM, NC 27106-2214
(336) 422-2027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18436
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851021455
—
NC
Enumeration date
06/15/2022
Last updated
01/18/2023
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