Provider Demographics
NPI:1053646026
Name:ENGEL, VALERIE JOANNE (CHEMICAL DEPENDENCY)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:JOANNE
Last Name:ENGEL
Suffix:
Gender:F
Credentials:CHEMICAL DEPENDENCY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S UNION ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-2275
Mailing Address - Country:US
Mailing Address - Phone:509-491-1072
Mailing Address - Fax:
Practice Address - Street 1:200 S UNION ST APT 2B
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2275
Practice Address - Country:US
Practice Address - Phone:509-491-1072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60286094101YA0400X
WAMC60907534101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2094197Medicaid