Provider Demographics
NPI:1770221376
Name:GRIFFIN, VICTORIA (MS, LMHC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:MS, LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 S GEAR AVE STE 251
Mailing Address - Street 2:
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-1688
Mailing Address - Country:US
Mailing Address - Phone:319-768-3700
Mailing Address - Fax:
Practice Address - Street 1:1225 S GEAR AVE STE 251
Practice Address - Street 2:
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1688
Practice Address - Country:US
Practice Address - Phone:319-768-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
LA7807101YP2500X
IA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health