Provider Demographics
NPI:1750522843
Name:VENTER, VICTORIA (MFT)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:VENTER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 BLOSSOM HILL RD APT 42
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-4528
Mailing Address - Country:US
Mailing Address - Phone:408-892-6927
Mailing Address - Fax:
Practice Address - Street 1:515 BLOSSOM HILL RD APT 42
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-4528
Practice Address - Country:US
Practice Address - Phone:408-892-6927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50935106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist