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Mr. David Gregory Valley, CSAC,CLA
Counselor in Ukiah, California
NPI 1669770426

David Gregory Valley is a Counselor based in Ukiah, CA. David Gregory Valley practices in Ukiah, CA and has the professional credentials of CSAC,CLA. The NPI Number for David Gregory Valley is 1669770426 and holds a License No. CORPHQ-1135-031613A (California).

The current practice location address for David Gregory Valley is 3258 North State Street, Ukiah, CA and can be reached out via phone at 707-234-9472 and via fax at 707-463-2045.

Location: 3258 North State Street, Ukiah, CA, 95482-3052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669770426
Provider Name
David Gregory Valley
Credential
CSAC,CLA
Provider Entity Type
Individual
Gender
Male
Address
3258 North State Street, Ukiah, CA, 95482-3052
Phone Number
707-234-9472
Fax Number
707-463-2045
Provider Enumeration Date
03/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DMR0616 01 NATIONWIDE INSURANC
1135-031613A 01 CA AOD LICENSE
45-4980495 01 IRS TAX ID
institution
Provider Business Practice Location Address Details
Address
3258 North State Street
City
Ukiah
State
California
Zip
95482-3052
Phone Number
707-234-9472
Fax Number
707-463-2045
person
Provider Business Mailing Address Details
Address
3258 North State Street
City
Ukiah
State
California
Zip
95482-3052
Phone Number
707-234-9472
Fax Number
707-463-2045
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1135-031613A (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
CORPHQ-1135-031613A (California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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