Provider Demographics
NPI:1285069245
Name:TANCSAK, VICTORIA HELEN (LPC)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:HELEN
Last Name:TANCSAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:HELEN
Other - Last Name:GUADAGNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:501 IRON BRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-314-6440
Mailing Address - Fax:732-761-2388
Practice Address - Street 1:501 IRON BRIDGE RD.
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-314-6440
Practice Address - Fax:732-761-2388
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00176900101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor