DR. WILLIAM A VICTOR LCPC NPI 1174531867

NPI Information

NPI: 1174531867
Provider Name: DR. WILLIAM A VICTOR, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
109 S 1ST ST
FAIRFIELD, IL
ZIP 62837
Phone: (618) 516-3337
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DR. William A Victor, LCPC is a mental health counselor in Fairfield, IL. DR. William A Victor, LCPC NPI is 1174531867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

109 S 1ST ST
FAIRFIELD, IL
ZIP 62837-513
Phone: (618) 516-3337
Fax: (618) 842-2120

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YM0800X	Counselor	Mental Health	ILLINOIS	Yes
2	101YP1600X	Counselor	Pastoral	ILLINOIS	X
3	101YP2500X	Counselor	Professional	ILLINOIS	X
4	106H00000X	Marriage & Family Therapist		ILLINOIS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5593729	OTHER		AETNA
2	09622928	OTHER		BLUE CROSS BLUE SHIELD IL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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