Individual
MS. VICTORIA LYNN HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LSW
Contact information
Practice address
2203 CAROLINA AVE, LOUISVILLE, KY 40205-1705
(502) 724-4355
(502) 384-4011
Mailing address
2203 CAROLINA AVE, LOUISVILLE, KY 40205-1705
(502) 724-4355
(502) 384-4011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
33001636A
IN
106H00000X
Marriage & Family Therapist
35000772A
IN
106H00000X
Marriage & Family Therapist
Primary
KY-0025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11545115
CAQH ID NUMBER
KY
Enumeration date
12/30/2008
Last updated
08/04/2010
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