Provider Demographics
NPI:1124570577
Name:MCLAUGHLIN, VICTORIA GRACE HARGENRADER (PHD, LPC, LSATP, ACS)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:GRACE HARGENRADER
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHD, LPC, LSATP, ACS
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:GRACE
Other - Last Name:HARGENRADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 PRINCE GEORGE ST STE 209
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3664
Mailing Address - Country:US
Mailing Address - Phone:757-274-9354
Mailing Address - Fax:
Practice Address - Street 1:501 PRINCE GEORGE ST STE 209
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3664
Practice Address - Country:US
Practice Address - Phone:757-274-9354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000432101YA0400X
VA0710102973101YA0400X
VA0701006808101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)