Provider Demographics
NPI:1962690842
Name:DANIEL, VICTORIA ANNA (LPC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:ANNA
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 W HAMLET AVE
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-4522
Mailing Address - Country:US
Mailing Address - Phone:910-895-5143
Mailing Address - Fax:910-895-6236
Practice Address - Street 1:109 MEDICAL CIR STE B
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5221
Practice Address - Country:US
Practice Address - Phone:910-895-5143
Practice Address - Fax:910-895-6236
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC4632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health