Healthcare Provider Details

I. General information

NPI: 1255219432
Provider Name (Legal Business Name): VICTOIR T CAHOON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 LAMBSON LN
NEW CASTLE DE
19720-2118
US

IV. Provider business mailing address

45 PEGASUS PL
BEAR DE
19701-2378
US

V. Phone/Fax

Practice location:
  • Phone: 302-510-6706
  • Fax:
Mailing address:
  • Phone: 302-290-1520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: