Individual ProviderVallerie ChaconPsychologistBehavioral Health & Social Service ProvidersPractice Address10300 4th St Ste 240, Rancho Cucamonga, CA 91730-5808(858) 264-5858PECOS EnrollmentBased on the most recent information from CMS, provider Vallerie Chacon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1306325998Provider TypeIndividualFull NameChacon, VallerieGenderFemaleSole ProprietorYesEnumeration Date8/14/2018Last Updated11/16/2023Contact InformationPractice LocationPractice Address10300 4th St Ste 240, Rancho Cucamonga, CA 91730-5808Phone(858) 264-5858FaxUnlisted FaxMailing LocationMailing Address10300 4th St Ste 240, Rancho Cucamonga, CA 91730-5808PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerCaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer