Provider Demographics
NPI:1144001439
Name:MCPIKE, VALENCIA (ALMFT)
Entity type:Individual
Prefix:
First Name:VALENCIA
Middle Name:
Last Name:MCPIKE
Suffix:
Gender:F
Credentials:ALMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 MERRIFIELDS DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-6954
Mailing Address - Country:US
Mailing Address - Phone:314-564-3664
Mailing Address - Fax:
Practice Address - Street 1:20 N CLARK ST STE 2650
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-5104
Practice Address - Country:US
Practice Address - Phone:312-558-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist