Provider Demographics
NPI:1184476285
Name:SINAGRIA, VICTORIA L (LAC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:SINAGRIA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 W GROVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2011
Mailing Address - Country:US
Mailing Address - Phone:609-214-6482
Mailing Address - Fax:
Practice Address - Street 1:680 W GROVELAND AVE
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2011
Practice Address - Country:US
Practice Address - Phone:609-214-6482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00604700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health