Individual
VICTORIA PARKER LEISURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C., C.A.C.
Contact information
Practice address
2461 LITITZ PIKE, LANCASTER, PA 17601-3670
(717) 475-0882
(717) 560-3995
Mailing address
668 LAUREL VIEW DR, MANHEIM, PA 17545-9791
(717) 372-8181
(717) 664-2846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC0898
PA
101YM0800X
Mental Health Counselor
PC001680
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11615745
CAQH NUMBER
PA
01
—
50046062
CAPITAL BLUE CROSS ID
PA
01
—
520817
VALUEOPTIONS ID
PA
Enumeration date
01/12/2007
Last updated
09/11/2025
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