KATHLEEN MARY VALERIUS NPI 1588134712

NPI Information

NPI: 1588134712
Provider Name: KATHLEEN MARY VALERIUS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3445 S MAIN ST
COVENTRY TOWNSHIP, OH
ZIP 44319
Phone: (330) 644-4095
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Kathleen Mary Valerius is an addiction (substance use disorder) counselor in Coventry Township, OH. Kathleen Mary Valerius NPI is 1588134712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3445 S MAIN ST
COVENTRY TOWNSHIP, OH
ZIP 44319-028
Phone: (330) 644-4095
Fax: (330) 645-2033

The enumeration date for this NPI number is 11/30/2018 and was last updated on 4/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator		161323	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	161323	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0339770	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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