Provider Demographics
NPI:1346465176
Name:LORD, VICTORIA B (LMHC)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:B
Last Name:LORD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1200 DUPONT ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3100
Mailing Address - Country:US
Mailing Address - Phone:360-756-9696
Mailing Address - Fax:360-647-3693
Practice Address - Street 1:1200 DUPONT ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3100
Practice Address - Country:US
Practice Address - Phone:360-756-9696
Practice Address - Fax:360-647-3693
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WALH00005585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health