Provider Demographics
NPI:1114322013
Name:MOLOKIN, VICKTORIA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:VICKTORIA
Middle Name:
Last Name:MOLOKIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:VICKTORIA
Other - Middle Name:
Other - Last Name:TOKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGPC
Mailing Address - Street 1:118 MONROE ST APT 904
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2513
Mailing Address - Country:US
Mailing Address - Phone:301-502-7430
Mailing Address - Fax:
Practice Address - Street 1:7474 GREENWAY CENTER DR
Practice Address - Street 2:SUITE 730
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-345-7022
Practice Address - Fax:240-554-2505
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC7099101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor