Provider Demographics
NPI:1518002336
Name:PLUCY, VICTOR H (MA-LMFT)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:H
Last Name:PLUCY
Suffix:
Gender:M
Credentials:MA-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 OHIO ST
Mailing Address - Street 2:#218
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4543
Mailing Address - Country:US
Mailing Address - Phone:360-392-2838
Mailing Address - Fax:360-527-8999
Practice Address - Street 1:112 OHIO ST
Practice Address - Street 2:#218
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4543
Practice Address - Country:US
Practice Address - Phone:360-392-2838
Practice Address - Fax:360-527-8999
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001225101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health