Provider Demographics
NPI:1689272304
Name:BARROWS, VICTORIA ANNETTE (MA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNETTE
Last Name:BARROWS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4923 N ALBANY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-8404
Mailing Address - Country:US
Mailing Address - Phone:570-660-4282
Mailing Address - Fax:
Practice Address - Street 1:3036 W IRVING PARK RD FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-3539
Practice Address - Country:US
Practice Address - Phone:773-270-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist