Provider Demographics
NPI:1659056752
Name:VOTE, VICTORIA RENEE
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:RENEE
Last Name:VOTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-2551
Mailing Address - Country:US
Mailing Address - Phone:515-351-8424
Mailing Address - Fax:
Practice Address - Street 1:142 N 9TH ST
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3911
Practice Address - Country:US
Practice Address - Phone:515-293-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician