Provider Demographics
NPI:1447499025
Name:DEL VALLE, KARIN ANN (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:ANN
Last Name:DEL VALLE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CENTER RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1946
Mailing Address - Country:US
Mailing Address - Phone:716-430-7109
Mailing Address - Fax:
Practice Address - Street 1:300 CENTER RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1946
Practice Address - Country:US
Practice Address - Phone:716-430-7109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002125-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health