Basic Information
| Provider Information | |||||||||
| NPI: | 1477626687 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VALVERDE-HENDERSON | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LMFT #49659 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 939 MARKET ST | ||||||||
| Address2: | 4TH FLOOR | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941031706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155978053 | ||||||||
| FaxNumber: | 4155978004 | ||||||||
| Practice Location | |||||||||
| Address1: | 982 MISSION ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941032911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155978053 | ||||||||
| FaxNumber: | 4155978004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2006 | ||||||||
| LastUpdateDate: | 04/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | IMF 44529 | CA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 106H00000X | 49659 | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.