Provider Demographics
NPI:1134727423
Name:TEMPLETON, VICTORIA (MS, LMFT ASSOICATE)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:MS, LMFT ASSOICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 ED ENGLISH DR.
Mailing Address - Street 2:BUILDING 4, UNIT C
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:256 ED ENGLISH DR.
Practice Address - Street 2:BUILDING 4, UNIT C
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385
Practice Address - Country:US
Practice Address - Phone:832-408-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203581106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist