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Kathleen Christine Valencia
Child Mental Illness Respite Care in Hereford, Arizona
NPI 1477620532

Kathleen Christine Valencia is a Child Mental Illness Respite Care based in Hereford, AZ and is specialized in Respite Care, Mental Illness, Child. Kathleen Christine Valencia practices in Hereford, AZ. The NPI Number for Kathleen Christine Valencia is 1477620532 and holds a License No. (Arizona).

The current practice location address for Kathleen Christine Valencia is 10330 S. Palominas Road, Hereford, AZ and can be reached out via phone at 520-366-0097.

Location: 10330 S. Palominas Road, Hereford, AZ, 85615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477620532
Provider Name
Kathleen Christine Valencia
Credential
Provider Entity Type
Individual
Gender
Female
Address
10330 S. Palominas Road, Hereford, AZ, 85615
Phone Number
520-366-0097
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
868979 05 AZ
institution
Provider Business Practice Location Address Details
Address
10330 S. Palominas Road
City
Hereford
State
Arizona
Zip
85615
Phone Number
520-366-0097
Fax Number
person
Provider Business Mailing Address Details
Address
10330 S. Palominas Road
City
Hereford
State
Arizona
Zip
85615
Phone Number
520-366-0097
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
(Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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