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Individual

MR. VICTOR THOMAS NEEDHAM JR.

Active
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Individual

MR. VICTOR THOMAS NEEDHAM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA,CRADC,NCC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TC1900X
Counseling Psychologist
103TF0000X
Family Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A10420001A
IL
Enumeration date
03/22/2007
Last updated
09/11/2025
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