Individual
LYNN A. VICTORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, R.D, L.D, LPC
Contact information
Practice address
710 PETTIGRU STREET, THE COTTAGE, GREENVILLE, SC 29601
(864) 631-1035
(864) 631-1067
Mailing address
710 PETTIGRU STREET, GREENVILLE, SC 29601
(864) 631-1035
(864) 631-1067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5461
SC
133V00000X
Registered Dietitian
415
SC
Other
Enumeration date
12/06/2009
Last updated
01/17/2013
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