Provider Demographics
NPI:1538333000
Name:BARBER, VICTORIA GONZALEZ (LPC)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:GONZALEZ
Last Name:BARBER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:VICTORIA
Other - Middle Name:TOY
Other - Last Name:RICHBOURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:135 GOSHEN ROAD EXTENTION
Mailing Address - Street 2:SUITE 256
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326
Mailing Address - Country:US
Mailing Address - Phone:912-421-1000
Mailing Address - Fax:
Practice Address - Street 1:135 GOSHEN ROAD, EXTENTION
Practice Address - Street 2:SUITE 256
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326
Practice Address - Country:US
Practice Address - Phone:912-421-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005209101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional