Valeria Ignacia Bezama Jimenez
Individual provider Active NPI Mental Health Counselor · Monroe, WA
NPI 1720890239 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1720890239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CG61617853 (WA)
- Practice address
- 800 West Main St
Monroe, WA 98272 - Phone
- (360) 805-3122
- Fax
- (360) 805-9180
- NPI assigned
- Jan 22, 2025
- Reactivated
- Oct 15, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61617853 | WA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG61617853 | WA | Yes |
Addresses
Primary practice location
800 West Main St
Monroe, WA 98272
Mailing address
800 W Main
Monroe, WA 98272
Phone (360) 805-3122
Other providers in Monroe, WA
- Sherry Lynn Bergner
- Ambyr Berman
- Karl Friedrich Berner
- Jane Betzer
- Carolee Rose Bevers
- Kylie Raeann Black
- Debra Ann Blaha
- Melanie Boffey
- Carolyn Joanne Bohnen
- Bokelyn Health Associates
All providers in Monroe, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.