Provider Demographics
NPI:1437190766
Name:MARLOW, VICTORIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:
Last Name:MARLOW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 MT DIABLO BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-3680
Mailing Address - Country:US
Mailing Address - Phone:925-254-4807
Mailing Address - Fax:
Practice Address - Street 1:3746 MT DIABLO BLVD
Practice Address - Street 2:STE 200
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-3680
Practice Address - Country:US
Practice Address - Phone:925-254-4807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT24541106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist