Provider Demographics
NPI:1780998740
Name:WILLIAMSON, VICTORIA MARY (LPCC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:MARY
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360434
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43236-0434
Mailing Address - Country:US
Mailing Address - Phone:614-596-4230
Mailing Address - Fax:614-443-0034
Practice Address - Street 1:1111 PARSONS AVE
Practice Address - Street 2:B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2782
Practice Address - Country:US
Practice Address - Phone:614-596-4230
Practice Address - Fax:614-443-0034
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-4345101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional