Healthcare Provider Details

I. General information

NPI: 1700544368
Provider Name (Legal Business Name): VICTORIA VALKO M.A.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 S HAMILTON RD STE 200
COLUMBUS OH
43232-4382
US

IV. Provider business mailing address

1570 QUARRY VW
COLUMBUS OH
43204-4960
US

V. Phone/Fax

Practice location:
  • Phone: 614-751-0042
  • Fax:
Mailing address:
  • Phone: 330-301-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2304969
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: