Aileen Jeanelle Smith-Valley, MA

Individual provider Active NPI Mental Health Counselor · Canaan, NY

NPI 1689450413 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1689450413
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P124117 (NY)
Practice address
3 Post Rd
Canaan, NY 12029-3104
Phone
(518) 603-3038
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P124117NYMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P124117 NY Yes

Addresses

Primary practice location

3 Post Rd
Canaan, NY 12029-3104

Mailing address

3 Post Rd
Canaan, NY 12029-3104
Phone (518) 603-3038

Other names

  • Aileen Jeanelle Richardson Other name

Other providers in Canaan, NY

All providers in Canaan, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.