Provider Demographics
NPI:1447702733
Name:VALENZUELA, ARIEL A (CDC I)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:A
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:CDC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:501 PINE ST
Mailing Address - Street 2:UNIT #3
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2277
Mailing Address - Country:US
Mailing Address - Phone:907-312-3536
Mailing Address - Fax:907-677-7095
Practice Address - Street 1:400 W TUDOR RD
Practice Address - Street 2:#A-400
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6614
Practice Address - Country:US
Practice Address - Phone:907-677-7709
Practice Address - Fax:907-677-7095
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)