Provider Demographics
NPI:1932655768
Name:VOLKMAN, VICTORIA (MLMHP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:VOLKMAN
Suffix:
Gender:F
Credentials:MLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S JEFFERS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5350
Mailing Address - Country:US
Mailing Address - Phone:308-532-4940
Mailing Address - Fax:308-532-4941
Practice Address - Street 1:402 S JEFFERS ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-5350
Practice Address - Country:US
Practice Address - Phone:308-532-4940
Practice Address - Fax:308-532-4941
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health