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Individual
VICTOR C VICTOR
Active
Individual
VICTOR C VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14660
TX
101YP2500X
Professional Counselor
Primary
84525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76-06388-96
IRS
TX
Enumeration date
01/29/2020
Last updated
04/28/2022
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