Provider Demographics
NPI:1295264638
Name:YOUNG, VICTORIA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MARIE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 BELLE VUE DR
Mailing Address - Street 2:
Mailing Address - City:ADDIS
Mailing Address - State:LA
Mailing Address - Zip Code:70710-3092
Mailing Address - Country:US
Mailing Address - Phone:225-610-2222
Mailing Address - Fax:
Practice Address - Street 1:4704 BELLE VUE DR
Practice Address - Street 2:
Practice Address - City:ADDIS
Practice Address - State:LA
Practice Address - Zip Code:70710-3092
Practice Address - Country:US
Practice Address - Phone:225-610-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health