Provider Demographics
NPI:1669154969
Name:WINDSOR, VICTORIA OLIVIA (LAPC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:OLIVIA
Last Name:WINDSOR
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 E BISMARCK EXPY STE 2
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6708
Mailing Address - Country:US
Mailing Address - Phone:701-255-3325
Mailing Address - Fax:
Practice Address - Street 1:1833 E BISMARCK EXPY STE 2
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-6708
Practice Address - Country:US
Practice Address - Phone:701-255-3325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1314-8-1-23A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health