Victory, Diane

Victory, Diane is an individual health care provider with primary practice located at 7840 Washington Ave , Kansas City KS 66112-2152. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Victory, Diane can be contacted via phone (913) 563-6500.

Contact Information

Primary practice address
7840 Washington Ave Kansas City KS 66112-2152
Phone: (913) 563-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 03020 Kansas

Profile Details

NPI number 1124575428
LBN Legal business name Victory, Diane
Credentials LCMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2016
Last updated Jan 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124575428 NPPES
Kansas MEDICAID 201140500A

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