IVELISSE VALLELLANES SANTIAGO MA NPI 1215410550

NPI Information

  • NPI: 1215410550
  • Provider Name: IVELISSE VALLELLANES SANTIAGO, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 627 W FRANKLIN ST
    SHELTON, WA
    ZIP 98584
  • Phone: (360) 763-5610

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NPI Details

Ivelisse Vallellanes Santiago, MA is a mental health counselor in Shelton, WA. Ivelisse Vallellanes Santiago, MA NPI is 1215410550. 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:

627 W FRANKLIN ST
SHELTON, WA
ZIP 98584-504
Phone: (360) 763-5610
Fax: (360) 462-0449

The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.

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
1101YM0800XCounselorMental HealthYes

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
1CG60880238OTHERWASHINGTONAGENCY AFFILIATED COUNSELO

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: 3/30/2025

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