Provider Demographics
NPI:1528394426
Name:MORRISON, VICTORIA RUTH (LPCC)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:RUTH
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 SOUTH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TWO HARBORS
Mailing Address - State:MN
Mailing Address - Zip Code:55616-1500
Mailing Address - Country:US
Mailing Address - Phone:218-834-6090
Mailing Address - Fax:218-834-6091
Practice Address - Street 1:520 SOUTH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:TWO HARBORS
Practice Address - State:MN
Practice Address - Zip Code:55616-1500
Practice Address - Country:US
Practice Address - Phone:218-834-6090
Practice Address - Fax:218-834-6091
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional